Active NPI
Steven Alexander Burley
- Pharmacist
- Issaquah, WA
National Provider Identifier
1215376264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60661795
- Practice address
- 5700 E Lake Sammamish Pkwy SE
Issaquah, WA 98029-8914 - Phone
- (425) 391-6408
- Fax
- (425) 392-2127
- NPI assigned
- Jun 21, 2013
- Sex
- Male
- 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 | PH60661795 | WA | Primary |
Addresses
Primary practice location
5700 E Lake Sammamish Pkwy SE
Issaquah, WA 98029-8914
Mailing address
32915 SE 76TH St
Fall City, WA 98024-6709
Phone (425) 444-2345
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 |
|---|---|---|---|
| PH60661795 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bartell Drug Co | Past | Accepting new patients | |
| The Bartell Drug Co | Past | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Issaquah, WA
- NPI 1033352141
-
- Pharmacy
- Seattle, WA
- NPI 1518517101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1215376264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32915 SE 76TH ST",
"city": "FALL CITY",
"state": "WA",
"postal_code": "980246709",
"telephone_number": "425-444-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 E LAKE SAMMAMISH PKWY SE",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980298914",
"telephone_number": "425-391-6408",
"fax_number": "425-392-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLEY",
"first_name": "STEVEN",
"middle_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-21",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60661795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.