Burnet Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034539 Issued in NY

Legal business name

BURNET PHARMACY, LLC

Doing business as

Burnet Pharmacy, LLC

Practice address

3056 Burnet Ave Ste 12
Syracuse, NY 13206-2466

Phone

(315) 437-0102

Fax

(315) 437-0136

NPI assigned

Apr 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Ahmad Mohammad HamadNPI 1427378611

Title

President

Phone

(315) 437-0102

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Burnet Pharmacy, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmad Mohammad Hamad, RPH

  • Pharmacist
  • Syracuse, NY
  • NPI 1427378611
  NPD Authorized official

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1407200629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 BURNET AVE STE 12",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062466",
            "telephone_number": "315-437-0102",
            "fax_number": "315-437-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 BURNET AVE STE 12",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062466",
            "telephone_number": "315-437-0102",
            "fax_number": "315-437-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNET PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "HAMAD",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-437-0102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034539",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04408664",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159618",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burnet Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burnet Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn Burkett, PMHNP
• Kelly L Burkett, MS, CRC, LMHC
• Chad Michael Burlee, PA-C
• Crenesha Teola Burley, LPN
• Jordan Burlingame, OTR
• Arian Lee Burnett-Farrands, OD
• Robin Burney, PA-C
• Daniel Burns Jr., LCSW
• John Burns, PA-C
• Ryan Burns

• Community/Retail Pharmacy in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.