NPIMap

Organization Active NPI

East Burke Pharmacy

  • Prosthetic/Orthotic Supplier
  • Hildebran, NC
National Provider Identifier
1053618694
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
EAST BURKE PHARMACY
Practice address
300 Main Ave West
Hildebran, NC 28637-0664
Phone
(828) 397-3420
Fax
(828) 397-3420
NPI assigned
Feb 17, 2011
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
David Hoyle
Title
Operations Manager
Phone
(828) 397-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

300 Main Ave West
Hildebran, NC 28637-0664

Mailing address

PO Box 664
Hildebran, NC 28637-0664
Phone (828) 397-3420

Other identifiers 2

IdentifierTypeStateIssuer
0125542MedicaidNC
4191560002OtherMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
East Burke Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1053618694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "286370664",
            "telephone_number": "828-397-3420",
            "fax_number": "828-397-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN AVE WEST",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "286370664",
            "telephone_number": "828-397-3420",
            "fax_number": "828-397-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BURKE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "HOYLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "828-397-3420"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125542",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4191560002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hildebran, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.