Individual provider Active NPI

Matthew James Burkett, PHARM. D

  • Pharmacist
  • Saratoga Springs, NY
National Provider Identifier
1205484581
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
065811 Issued in NY
Practice address
95 Weibel Ave
Saratoga Springs, NY 12866-5328
Phone
(518) 587-0681
NPI assigned
Aug 29, 2019
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 065811 NY Primary

Addresses

Primary practice location

95 Weibel Ave
Saratoga Springs, NY 12866-5328

Mailing address

95 Weibel Ave
Saratoga Springs, NY 12866-5328

Other practice location 1

180 Delaware Ave
Delmar, NY 12054-1304
Phone (518) 439-7657

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
065811NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin's Foods of South Burlington, LLC PastSince Sep 1, 2019 Accepting new patients
Martins Foods of South Burlington LLC PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1205484581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WEIBEL AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WEIBEL AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665328",
            "telephone_number": "518-587-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Delmar",
            "state": "NY",
            "postal_code": "120541304",
            "country_code": "US",
            "telephone_number": "518-439-7657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "065811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.