NPIMap

Organization Active NPI

Burke Apothecary Inc

  • Pharmacy
  • Waynesboro, GA
National Provider Identifier
1205940277
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE006816 Issued in GA
Legal business name
BURKE APOTHECARY INC
Practice address
201 Dogwood Dr
Waynesboro, GA 30830-5445
Phone
(706) 554-5133
Fax
(706) 554-0941
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Walter Seeger, RPH
Title
Pres Owner
Phone
(706) 554-5133

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE006816 GA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

201 Dogwood Dr
Waynesboro, GA 30830-5445

Mailing address

PO Box 666
Waynesboro, GA 30830-0666

Other identifiers 3

IdentifierTypeStateIssuer
00199284BMedicaidGA
00199284AMedicaidGA
1125702OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • BURKE APOTHECARY Doing business as

National Provider Directory

National Provider Directory

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1205940277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 666",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308300666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOGWOOD DR",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308305445",
            "telephone_number": "706-554-5133",
            "fax_number": "706-554-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "SEEGER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "706-554-5133",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE006816",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00199284B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00199284A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1125702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURKE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.