Active NPI
Stephen Burklow
- Pharmacist
- Pace, FL
National Provider Identifier
1427759646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS28473
- Practice address
- 4880 Woodbine Rd
Pace, FL 32571-8762 - Phone
- (850) 463-4232
- Fax
- (850) 463-4236
- NPI assigned
- Mar 14, 2023
- Last updated
- Mar 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS28473 | FL | Primary |
Addresses
Primary practice location
4880 Woodbine Rd
Pace, FL 32571-8762
Mailing address
2514 Wallace Lake Rd
Pace, FL 32571-9181
Phone (850) 293-1011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS28473 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burklow Pharmacy Inc | Current | Accepting new patients | |
| Pace Pharmacy, LLC | Current | Accepting new patients |
Locations
4880 Woodbine Rd
Pace, FL 32571
Phone (850) 463-4232
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1427759646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 WALLACE LAKE RD",
"city": "PACE",
"state": "FL",
"postal_code": "325719181",
"telephone_number": "850-293-1011",
"fax_number": "850-463-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4880 WOODBINE RD",
"city": "PACE",
"state": "FL",
"postal_code": "325718762",
"telephone_number": "850-463-4232",
"fax_number": "850-463-4236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKLOW",
"first_name": "STEPHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS28473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.