Patricia Ann Wanzer-Burgess, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

09536 Issued in MD

Practice address

79TH Med Group, MGMC 1050 West Perimeter Rd
Andrews Air Force Base
Andrews Air Force Base, MD 20762-6600

Phone

(240) 857-4566

Fax

(240) 857-4544

NPI assigned

Oct 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Patricia Ann Wanzer-Burgess Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1164610515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 WHITE OWL WAY",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207461064",
            "telephone_number": "301-736-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79TH MED GROUP, MGMC 1050 WEST PERIMETER RD",
            "address_2": "ANDREWS AIR FORCE BASE",
            "city": "ANDREWS AIR FORCE BASE",
            "state": "MD",
            "postal_code": "207626600",
            "telephone_number": "240-857-4566",
            "fax_number": "240-857-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANZER-BURGESS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "09536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WANZER-BURGESS",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "R.PH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kenric Lamar Stephens, PHARMACIST
• Stephen James Titus, M.D.
• Matthew Robert Uber, CRNA
• US Air Force
• US Air Force
• Martin Ben Yules, D.D.S.

• Pharmacist in Andrews Air Force Base, MD
• Providers in Andrews Air Force Base, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.