Jeff Karl Burnette, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH021337 Issued in GA

Practice address

107 Spring St
Tallapoosa, GA 30176-1293

Phone

(770) 574-2914

Fax

(770) 574-2896

NPI assigned

Oct 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia CVS Pharmacy L.L.C

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)
• Georgia CVS Pharmacy, L.L.C.

  • Pharmacy
  • Tallapoosa, GA
  • NPI 1790888543
  NPD (past)

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1306561964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SPRING ST",
            "city": "TALLAPOOSA",
            "state": "GA",
            "postal_code": "301761293",
            "telephone_number": "770-574-2914",
            "fax_number": "770-574-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SPRING ST",
            "city": "TALLAPOOSA",
            "state": "GA",
            "postal_code": "301761293",
            "telephone_number": "770-574-2914",
            "fax_number": "770-574-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "JEFF",
        "middle_name": "KARL",
        "name_prefix": "Prof.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH021337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "107 Spring St",
            "city": "Tallapoosa",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301761293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Advanced Chiropractic Solutions, L.L.C.
• James Ahn, PHARMD
• Alta Corporation Dba Georgia Living Center
• Kenneth S Calain, DC
• Community Christian Council of Haralson County Inc
• Meredith Leigh Farmer, RN, NNP
• Cinnamon Finley
• Georgia CVS Pharmacy, L.L.C.

• All providers in Tallapoosa, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.