Buerkle Drug Management LLC
Organization Active NPI Community/Retail Pharmacy · Stuttgart, AR
NPI 1356485684 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1356485684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- AR412774 (AR)
- Legal business name
- BUERKLE DRUG MANAGEMENT LLC
- Practice address
- 202 S Main St
Stuttgart, AR 72160-4355 - Phone
- (870) 673-1311
- Fax
- (870) 673-3784
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Brandyn England, PHARM D
- Title
- Managing Partner/Pharmacist in Char
- Phone
- (890) 673-1311
Practitioners 3
-
Brandyn Tyler England, PHARMD
-
Edward Buerkle, PD
-
Gail A Northcutt, PD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2205350 | Buerkle Drug Management | Certificate of waiver | Dec 13, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190131002875 | AR | Part B Supplier - Pharmacy | 4688911423 | Practice locations: Stuttgart, AR |
National Provider Directory
Locations
202 S Main St
Stuttgart, AR 72160
Phone (870) 673-1311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR412774 | AR | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
202 S Main St
Stuttgart, AR 72160-4355
Mailing address
202 S Main St
Stuttgart, AR 72160-4355
Phone (870) 673-1311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100274407 | Medicaid | AR | |
| 1994247 | Other | PK |
Other providers in Stuttgart, AR
- Elizabeth Jayne Barnett
- Bethea Brothers Drug Co Inc
- Bethea Brothers Drug Co Inc
- James Wayne Bethea Jr.
- Naomi Bowers
- Buerkle Street Emergency Physicians LLC
- Edward Buerkle
- Shonte' A Byrd
- Sharon Cagle
- Stefan A Calloway
All providers in Stuttgart, AR · Community/Retail Pharmacy in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.