Active NPI
Michael Clark Burke, R.PH.
- Pharmacist
- Oro Valley, AZ
National Provider Identifier
1346397932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- AZ6604
- Practice address
- 10661 N Oracle Rd
Oro Valley, AZ 85737-9322 - Phone
- (520) 742-6667
- Fax
- (520) 742-2694
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- 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 | AZ6604 | AZ | Primary |
Addresses
Primary practice location
10661 N Oracle Rd
Oro Valley, AZ 85737-9322
Mailing address
4746 W Verada del Venado
Tucson, AZ 85745-9767
Phone (520) 743-9657
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ6604 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smiths Food & Drug Centers Inc | Past | Accepting new patients | |
| Smith's Food & Drug Centers Inc | 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.
-
dba Frys Food and Drug
- Community/Retail Pharmacy
- Oro Valley, AZ
- NPI 1093758328
-
dba Smith's Pharmacy #303
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346397932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4746 W VERADA DEL VENADO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857459767",
"telephone_number": "520-743-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10661 N ORACLE RD",
"city": "ORO VALLEY",
"state": "AZ",
"postal_code": "857379322",
"telephone_number": "520-742-6667",
"fax_number": "520-742-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "MICHAEL",
"middle_name": "CLARK",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "AZ6604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oro Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.