Michael J Burkhart, RPH
Individual provider Active NPI Pharmacist · Walton, KY
NPI 1295850832 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295850832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 011648 (KY)
- Practice address
- 305 Mary Grubbs Hwy
Walton, KY 41094-7483 - Phone
- (859) 485-7733
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011648 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KKB Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011648 | KY | Yes |
Addresses
Primary practice location
305 Mary Grubbs Hwy
Walton, KY 41094-7483
Mailing address
5756 Cedaridge Dr
Cincinnati, OH 45247-7415
Phone (513) 574-8699
Other providers in Walton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.