Davis-Burkett Food Corp

Primary specialty

PharmacyTaxonomy code 333600000X

License

5790736-1703 Issued in UT

Legal business name

DAVIS-BURKETT FOOD CORP

Practice address

575 W Main St
Vernal, UT 84078-2405

Phone

(435) 789-7011

Fax

(435) 781-4804

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Mike Sorenson, PHARMD

Title

Pharmacy Operations Manager

Phone

(435) 789-7011

Specialties & licenses 2

Addresses

Other names 1

• Davis Food and Drug #1 Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Davis-Burkett Food Corp

  • Pharmacy
  • Roosevelt, UT
  • NPI 1528198421

  O20121023000819

  Same enrollment
• Davis-Burkett Food Corp

  • Pharmacy
  • La Verkin, UT
  • NPI 1558605816

  O20121023000819

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Davis Food and Drug 13 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Davis-Burkett Food Corp

  • Pharmacy
  • Roosevelt, UT
  • NPI 1528198421
  NPD tax ID
• Davis-Burkett Food Corp

  • Pharmacy
  • La Verkin, UT
  • NPI 1558605816
  NPD tax ID

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1255324554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 W MAIN ST",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782405",
            "telephone_number": "435-789-7011",
            "fax_number": "435-781-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W MAIN ST",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782405",
            "telephone_number": "435-789-7011",
            "fax_number": "435-781-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS-BURKETT FOOD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2021-06-03",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PHARMACY OPERATIONS MANAGER",
        "authorized_official_telephone_number": "435-789-7011",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "UT",
            "license": "5790736-1703",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "5790736-1703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Food and Drug #1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davis Food and Drug #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerica Kent Curtis
• Aubrey Cutler, PHARM D
• Dan Goodkind PHD PC
• Bruce A Daniel, MD
• Brennon Scott Davies, PHARMD
• Dino Family Dental
• Dinosaurland Pediatrics
• Melissa Dittmer
• Dr Adam Madsen Orthopedic Surgery
• Dr Adam R Hunt PC

• Pharmacy in Vernal, UT
• Providers in Vernal, UT by specialty
• Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.