NPIMap

Organization Active NPI

William Burke LTD

  • Compounding Pharmacy
  • Davenport, IA
National Provider Identifier
1235323288
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
1325 Issued in IA
Legal business name
WILLIAM BURKE LTD
Practice address
129 W Locust St
Davenport, IA 52803
Phone
(563) 324-1641
Fax
(563) 884-4480
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Andrew Ploehn
Title
Owner
Phone
(563) 324-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 1325 IA Primary

Addresses

Primary practice location

129 W Locust St
Davenport, IA 52803

Mailing address

2151 Kimberly Rd
Bettendorf, IA 52722-3628
Phone (563) 324-1641

Other names 1

  • MAIN COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
William Burke LTD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2151 Kimberly Rd
Bettendorf, IA 52722
Phone (563) 324-5004

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1235323288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 KIMBERLY RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223628",
            "telephone_number": "563-324-1641",
            "fax_number": "563-884-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LOCUST ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52803",
            "telephone_number": "563-324-1641",
            "fax_number": "563-884-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BURKE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "PLOEHN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-324-5004"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IA",
            "license": "1325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.