Active NPI
Kristin Burge
- Pharmacist
- Jackson, KY
National Provider Identifier
1114528924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021582
- Practice address
- 59 Ky 15 N
Jackson, KY 41339-4133 - Phone
- (859) 404-5521
- NPI assigned
- Nov 6, 2020
- Last updated
- Aug 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 021582 | KY | Primary |
Addresses
Primary practice location
59 Ky 15 N
Jackson, KY 41339-4133
Mailing address
59 Ky-15 N
Jackson, KY 41339-7060
Phone (859) 404-5221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021582 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1114528924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 KY-15 N",
"city": "JACKSON",
"state": "KY",
"postal_code": "413397060",
"telephone_number": "859-404-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 KY 15 N",
"city": "JACKSON",
"state": "KY",
"postal_code": "413394133",
"telephone_number": "859-404-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGE",
"first_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2021-08-25",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "021582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, KY
- Breathitt Emergency Group, LLC
- Breathitt-Wolfe EMS Inc
- Breatitt County Geriatric Corporation (nim henson geriatric center)
- Bobby Brewer Jr.
- Carol Bryant Jones, LPCA
- George Edward Burnette, MD
- Verna Jean Burnette, PAC
- Candice Lee Campbell, PHARMD RPH
- Dennis B Campbell, M.D.
- Jacqueline Campbell, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.