NPIMap

Organization Active NPI

Burke Pharmacy

  • Prosthetic/Orthotic Supplier
  • Morganton, NC
National Provider Identifier
1306156344
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
5037 Issued in NC
Legal business name
BURKE PHARMACY
Practice address
301 West Meeting Street
Morganton, NC 28655-3688
Phone
(828) 437-5800
Fax
(828) 438-8755
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mr. Van Truman Clontz, CFTS0032
Title
Owner/Tech
Phone
(828) 437-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 5037 NC Primary

Addresses

Primary practice location

301 West Meeting Street
Morganton, NC 28655-3688

Mailing address

301 W Meeting St
Morganton, NC 28655-3866
Phone (828) 437-5800

Other identifiers 1

IdentifierTypeStateIssuer
7795318MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Burke Pharmacy Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1306156344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MEETING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553866",
            "telephone_number": "828-437-5800",
            "fax_number": "828-437-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WEST MEETING STREET",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553688",
            "telephone_number": "828-437-5800",
            "fax_number": "828-438-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "CLONTZ",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "TRUMAN",
        "authorized_official_title_or_position": "OWNER/TECH",
        "authorized_official_telephone_number": "828-437-5800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFTS0032"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "5037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795318",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.