Burt'S Pharmacy Direct, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BURT'S PHARMACY DIRECT, INC

Practice address

3579 Old Conejo Rd
Thousand Oaks, CA 91320-2122

Phone

(833) 287-8728

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Robert T Leark

Title

Ceo

Phone

(833) 287-8728

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1376385138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 BORCHARD RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 OLD CONEJO RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202122",
            "telephone_number": "833-287-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURT'S PHARMACY DIRECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "LEARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-287-8728"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett James Burr
• Christian Stepping Stones Burrell
• Corey Burrough
• Deanna C Burt, MPT,DPT
• Tanya Burt
• Rodney Paul Burton, DDS
• Burts Specialty Pharmacy
• Burts Specialty Pharmacy
• Tjerk F Bury, MD
• Carolina Bustos

• Community/Retail Pharmacy in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Jun 11, 2024; 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.