Organization Active NPI

Burhenns Pharmacy Inc

  • Community/Retail Pharmacy
  • Erie, PA
National Provider Identifier
1104987924
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410299L Issued in PA
Legal business name
BURHENNS PHARMACY INC
Practice address
861 E 38TH St
Erie, PA 16504-1768
Phone
(814) 824-8224
Fax
(814) 824-8229
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Michael Burhenn, R.PHNPI 1942548979
Title
Vice President
Phone
(814) 824-8224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP410299L PA Primary

Addresses

Primary practice location

861 E 38TH St
Erie, PA 16504-1768

Mailing address

861 E 38TH St
Erie, PA 16504-1768
Phone (814) 824-8224

Other identifiers 2

IdentifierTypeStateIssuer
0956847MedicaidPA
2080030OtherPK

Other names 1

  • BURHENNS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

861 E 38th St
Erie, PA 16504
Phone (814) 824-8224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1104987924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041768",
            "telephone_number": "814-824-8224",
            "fax_number": "814-824-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041768",
            "telephone_number": "814-824-8224",
            "fax_number": "814-824-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURHENNS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BURHENN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "814-824-8224",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410299L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0956847",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURHENNS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.