NPIMap

Organization Active NPI

Burke Center

Doing business as Etbhn Integrated Pharmacy Lufkin

  • Clinic Pharmacy
  • Lufkin, TX
National Provider Identifier
1245894682
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
BURKE CENTER
Doing business as
Etbhn Integrated Pharmacy Lufkin
Practice address
1522 W Frank Ave Ste 109
Lufkin, TX 75904-3334
Phone
(936) 630-3700
Fax
(936) 634-0110
NPI assigned
Apr 30, 2019
Last updated
Apr 30, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
BURKE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Ted Zieschang, RPH
Title
Director of Pharmacy
Phone
(936) 634-5664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

1522 W Frank Ave Ste 109
Lufkin, TX 75904-3334

Mailing address

2704 Homer Alto Rd
Lufkin, TX 75904-8750
Phone (936) 634-5664

Other names 1

  • ETBHN INTEGRATED PHARMACY LUFKIN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Choices Adolescent Center20 organizations share this tax ID, including this one
Part of
Choices Adolescent Center

Other organizations with this tax ID 19

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

View all 19

Locations

2704 Homer Alto Rd
Lufkin, TX 75904
Phone (800) 564-6701

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1245894682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 HOMER ALTO RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759048750",
            "telephone_number": "936-634-5664",
            "fax_number": "936-634-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 W FRANK AVE STE 109",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043334",
            "telephone_number": "936-630-3700",
            "fax_number": "936-634-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BURKE CENTER",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "ZIESCHANG",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "936-634-5664",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETBHN INTEGRATED PHARMACY LUFKIN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.