Individual provider Active NPI

Joanne Burns

  • Pharmacotherapy Pharmacist
  • Queensbury, NY
National Provider Identifier
1326226598
Registry record updated Feb 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
045198 Issued in NY
Practice address
578 Aviation Rd
Suite 1 S- Target T-1830
Queensbury, NY 12804-1814
Phone
(518) 792-7583
Fax
(518) 792-7583
NPI assigned
Feb 9, 2008
Last updated
Feb 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 045198 NY Primary

Addresses

Primary practice location

578 Aviation Rd
Suite 1 S- Target T-1830
Queensbury, NY 12804-1814

Mailing address

578 Aviation Rd
Suite 1 S- Target T-1830
Queensbury, NY 12804-1814
Phone (518) 792-7583

Other identifiers 1

IdentifierTypeStateIssuer
045198MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202515200000",
    "number": "1326226598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 AVIATION RD",
            "address_2": "SUITE 1 S- TARGET T-1830",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041814",
            "telephone_number": "518-792-7583",
            "fax_number": "518-792-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 AVIATION RD",
            "address_2": "SUITE 1 S- TARGET T-1830",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041814",
            "telephone_number": "518-792-7583",
            "fax_number": "518-792-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-09",
        "last_updated": "2008-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "045198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045198",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; 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.