Noah Paul Burlison

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.305315 Issued in IL

Practice address

2051 Ridge Rd
Minooka, IL 60447-8863

Phone

(815) 467-1254

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Drug Stores LLC

  • Community/Retail Pharmacy
  • Diamond, IL
  • NPI 1013786706
  NPD (past)
• American Drug Stores LLC

  dba Osco Drug #3730

  • Community/Retail Pharmacy
  • Minooka, IL
  • NPI 1811944366
  NPD (past)

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1245938232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 CANDLE WOOD CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605867246",
            "telephone_number": "630-303-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 RIDGE RD",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604478863",
            "telephone_number": "815-467-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLISON",
        "first_name": "NOAH",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.305315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Bass, PHARM.D.
• Rohail Isaac Bhurgri, DMD
• Katherine Boll, DPT
• Lauren Breedlove
• Sydney Bright, LSW, CADC
• Rebecca Burr, MSW
• Alicia Cameron
• Donna Marie Cassella-Johnson, LCPC
• Jennifer Marie Ceko
• Darren Cissell, D.C.

• Pharmacist in Minooka, IL
• Providers in Minooka, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.