Active NPI
Jodie Burnett, R.PH
- Pharmacist
- Poplar Bluff, MO
National Provider Identifier
1275959538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2001029145
- Practice address
- 333 S Westwood Blvd Ste Ofc
Poplar Bluff, MO 63901-5500 - Phone
- (573) 686-6539
- NPI assigned
- Mar 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2001029145 | MO | Primary |
Addresses
Primary practice location
333 S Westwood Blvd Ste Ofc
Poplar Bluff, MO 63901-5500
Mailing address
PO Box 425
Dexter, MO 63841-0425
Phone (573) 820-0043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001029145 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1275959538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 425",
"city": "DEXTER",
"state": "MO",
"postal_code": "638410425",
"telephone_number": "573-820-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S WESTWOOD BLVD STE OFC",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015500",
"telephone_number": "573-686-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "JODIE",
"name_prefix": "Mrs.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-11",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2001029145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.