Burts Pharmacy Moorpark

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BURTS PHARMACY MOORPARK

Doing business as

Burt's Pharmacy Moorpark

Practice address

865 Patriot Dr Ste 103
Moorpark, CA 93021-3407

Phone

(805) 552-4500

Fax

(805) 552-4515

NPI assigned

Feb 13, 2019

Last updated

Apr 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Thomas LearkNPI 1295243665

Title

Ceo

Phone

(805) 498-6675

Specialties & licenses 1

Addresses

Other names 1

• Burt's Pharmacy Moorpark Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Burt's Pharmacy Moorpark2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Burts Pharmacy Moorpark

  • Long Term Care Pharmacy
  • Moorpark, CA
  • NPI 1053962613
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Thomas Leark, PHARMD

  • Pharmacist
  • Newbury Park, CA
  • NPI 1295243665
  Authorized official Same address or phone

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1376009530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR STE 103",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213407",
            "telephone_number": "562-522-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR STE 103",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213407",
            "telephone_number": "805-552-4500",
            "fax_number": "805-552-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTS PHARMACY MOORPARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "LEARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-498-6675"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burt's Pharmacy Moorpark",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burt's Pharmacy Moorpark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Browning
• Timmellyn Buchanan, PHARM.D.
• Victoria Bulanadi
• Carrie Burgert, PT, DPT
• Burts Pharmacy Moorpark
• Ca Ya Services LLC (Newport Institute-Pimlico)
• Ca Ya Services LLC (Newport Institute-Read)
• California Kidney Medical Group, Inc
• Liliana Camacho, PA-C
• Marie Campbell, FNP-BC

• Community/Retail Pharmacy in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.