Burwell Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

863 Issued in NE

Legal business name

BURWELL PHARMACY LLC

Practice address

137 Grand Ave
Burwell, NE 68823-4153

Phone

(308) 346-4747

Fax

(308) 346-4869

NPI assigned

Dec 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Snyder, BS

Title

Pic

Phone

(308) 346-4747

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1043375710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "68823",
            "telephone_number": "308-346-4747",
            "fax_number": "308-346-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 GRAND AVE",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "688234153",
            "telephone_number": "308-346-4747",
            "fax_number": "308-346-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURWELL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "308-346-4747",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "863",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2053182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jamie Christina Chaffin, DC

• All providers in Burwell, NE
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.