Burrell Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP481288 Issued in PA

Legal business name

BURRELL PHARMACY, INC

Practice address

2889 Leechburg Rd
Lower Burrell, PA 15068-2542

Phone

(724) 334-1067

Fax

(724) 334-9681

NPI assigned

Oct 21, 2006

Organization subpart

No

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

Authorized official

Name

Alexander J Micklow, R.PH.

Title

Secretary

Phone

(724) 334-1067

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Burrell HealthMart Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Joseph Dodek

  • Pharmacist
  • Leechburg, PA
  • NPI 1740533504
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1275616625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682542",
            "telephone_number": "724-334-1067",
            "fax_number": "724-334-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682542",
            "telephone_number": "724-334-1067",
            "fax_number": "724-334-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURRELL PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "MICKLOW",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "724-334-1067",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP481288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3982483",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019711310001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burrell HealthMart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Wayne Bitar, DC
• Linda Irene Bolt, MSCCCSLP
• Jacomina Bruno, MD
• Wendy S Brzozowski, COTA/L
• Burrell Medical Center
• Burrell Podiatry Clinic PC
• Burrell School District
• Charlene Elizabeth Cable
• Mara Ann Carlini, MSAOM
• Katy Lynn Caron, DPT

• Community/Retail Pharmacy in Lower Burrell, PA
• Providers in Lower Burrell, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.