NPIMap

Organization Active NPI

Burke Center

  • Mail Order Pharmacy
  • Lufkin, TX
National Provider Identifier
1164518163
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
22928 Issued in TX
Legal business name
BURKE CENTER
Practice address
2704 Homer Alto Rd
Lufkin, TX 75904-8750
Phone
(800) 564-6701
Fax
(800) 564-7591
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Ted Zieschang, RPH
Title
Director of Pharmacy
Phone
(936) 634-5664

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Mail Order Pharmacy 3336M0002X 22928 TX Primary

Addresses

Primary practice location

2704 Homer Alto Rd
Lufkin, TX 75904-8750

Mailing address

2704 Homer Alto Rd
Lufkin, TX 75904-8750
Phone (800) 564-6701

Other identifiers 2

IdentifierTypeStateIssuer
145375MedicaidTX
2096453OtherPK

Other names 1

  • East Texas Behavioral Healthcare Network Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Burke Central20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

2704 Homer Alto Rd
Lufkin, TX 75904
Phone (800) 564-6701

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1164518163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 HOMER ALTO RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759048750",
            "telephone_number": "800-564-6701",
            "fax_number": "800-564-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 HOMER ALTO RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759048750",
            "telephone_number": "800-564-6701",
            "fax_number": "800-564-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "ZIESCHANG",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "936-634-5664",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TX",
            "license": "22928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145375",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Behavioral Healthcare Network Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Texas Behavioral Healthcare Network Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.