Burts Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50828 Issued in CA

Legal business name

BURTS PHARMACY LLC

Doing business as

Burt's Pharmacy

Practice address

2333 Borchard Rd
Newbury Park, CA 91320-3206

Phone

(805) 498-6675

Fax

(805) 498-8017

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Robert Leark

Title

Owner/Pic

Phone

(562) 522-4954

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Burt's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1235255886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 BORCHARD RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203206",
            "telephone_number": "805-498-6675",
            "fax_number": "805-498-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 BORCHARD RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203206",
            "telephone_number": "805-498-6675",
            "fax_number": "805-498-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "LEARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "562-522-4954"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50828",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burt's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Diane Brown, SLP
• Geoffrey A Buckley, M.S., M.DIV., PH.D
• Kathleen Doris Buckley, M.S.
• Tabitha C Burkard, NONE
• Denise Sheaks Burke, LCSW
• Lauren Bussell, PT, DPT
• Mark Thomas Cady, M.S., MFT
• California 3 Sleep Services LLC
• California 4 Sleep Services LLC
• California Back Specialists Medical Group, Inc

• Community/Retail Pharmacy in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.