Burts Pharmacy Moorpark

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BURTS PHARMACY MOORPARK

Practice address

865 Patriot Dr Ste 103
Moorpark, CA 93021-3407

Phone

(805) 552-4500

Fax

(805) 552-4515

NPI assigned

Sep 25, 2019

Last updated

Apr 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Thomas LearkNPI 1295243665

Title

Ceo

Phone

(805) 498-6675

Specialties & licenses 1

Addresses

Tax ID family

Burt's Pharmacy Moorpark2 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.

• Burts Pharmacy Moorpark

  • Community/Retail Pharmacy
  • Moorpark, CA
  • NPI 1376009530
  NPD tax ID

Locations

Practitioners 1

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.

• Robert Thomas Leark, PHARMD

  • Pharmacist
  • Newbury Park, CA
  • NPI 1295243665
  Authorized official Same address or phone

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1053962613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR STE 103",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR STE 103",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213407",
            "telephone_number": "805-552-4500",
            "fax_number": "805-552-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTS PHARMACY MOORPARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "LEARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-498-6675"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina A Brown, MD
• Kimberly Browning
• Timmellyn Buchanan, PHARM.D.
• Victoria Bulanadi
• Carrie Burgert, PT, DPT
• Burts Pharmacy Moorpark
• Ca Ya Services LLC (Newport Institute-Pimlico)
• Ca Ya Services LLC (Newport Institute-Read)
• California Kidney Medical Group, Inc
• Liliana Camacho, PA-C

• Long Term Care Pharmacy in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.