Active NPI
Kevin Martin Burns
- Pharmacist
- Spanish Fort, AL
National Provider Identifier
1306347893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18766
- Practice address
- 30957 Mill LN
Spanish Fort, AL 36527-5453 - Phone
- (251) 625-4654
- NPI assigned
- Feb 21, 2018
- Last updated
- Feb 21, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 18766 | AL | Primary |
Addresses
Primary practice location
30957 Mill LN
Spanish Fort, AL 36527-5453
Mailing address
30957 Mill LN
Spanish Fort, AL 36527-5453
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18766 | AL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1306347893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30957 MILL LN",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365275453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30957 MILL LN",
"city": "SPANISH FORT",
"state": "AL",
"postal_code": "365275453",
"telephone_number": "251-625-4654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "KEVIN",
"middle_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spanish Fort, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.