James Conrad Burke, RPH
Individual provider Active NPI Pharmacist · Aliquippa, PA
NPI 1366566838 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366566838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP032893L (PA)
- Practice address
- 2003 Sheffield Rd
Suite B
Aliquippa, PA 15001-2758 - Phone
- (724) 375-1672
- NPI assigned
- Mar 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP032893L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med-Fast Pharmacy Inc | Past | Accepting new patients | |
| Med-Fast Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP032893L | PA | Yes |
Addresses
Primary practice location
2003 Sheffield Rd
Suite B
Aliquippa, PA 15001-2758
Mailing address
394 Pine Ridge Dr
Venetia, PA 15367-1364
Phone (724) 348-8158
Other providers in Aliquippa, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.