Teresa Monique Burks, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

12305 Issued in SC

Practice address

409 Snowy Plover LN
Summerville, SC 29486-5334

Phone

(843) 830-8702

NPI assigned

May 21, 2012

Last updated

Aug 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Civic Medication Management Services LLC

  • Pharmacist
  • North Charleston, SC
  • NPI 1295095487
  NPD (past) Authorized official

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1063772358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SNOWY PLOVER LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294865334",
            "telephone_number": "843-830-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SNOWY PLOVER LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294865334",
            "telephone_number": "843-830-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "TERESA",
        "middle_name": "MONIQUE",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "20568",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Latez Burgess, DPT
• Frances E Burke
• Rhonda Williams Burke, LPC
• William H Burke, LPC
• Lindsey Burkey, CCC-SLP
• Rebecca Burnham, D.O.
• William D Burnham, MD
• Chanel N Burns
• Catherine Bradley Burris
• Adelaide S Butler, BSN, RN

• Pharmacist in Summerville, SC
• Providers in Summerville, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2023; 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.