Johnny Hilton Burns Sr., PD
Individual provider Active NPI Pharmacist · Marion, AR
NPI 1104957018 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1104957018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4976 (AR)
- Practice address
- 134 Block St
Marion, AR 72364-1956 - Phone
- (870) 739-4400
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4976 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnny H Burns, T/a Marion Discont Pharmacy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4976 | AR | Yes |
Addresses
Primary practice location
134 Block St
Marion, AR 72364-1956
Mailing address
134 Block St
Marion, AR 72364-1956
Phone (870) 739-4400
Other providers in Marion, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.