Active NPI
Amy Burnett
- Pharmacist
- Hines, IL
National Provider Identifier
1447411756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.032603
- Practice address
- 5TH Ave & Roosevelt Rd
Building 37 NW
Hines, IL 60141 - Phone
- (708) 786-7820
- Fax
- (708) 786-7980
- NPI assigned
- Jun 19, 2008
- Last updated
- Jun 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 051.032603 | IL | Primary |
Addresses
Primary practice location
5TH Ave & Roosevelt Rd
Building 37 NW
Hines, IL 60141
Mailing address
PO Box 7011
Hines, IL 60141-7011
Phone (708) 786-7820
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 |
|---|---|---|---|
| 051.032603 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213833600000",
"number": "1447411756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7011",
"city": "HINES",
"state": "IL",
"postal_code": "601417011",
"telephone_number": "708-786-7820",
"fax_number": "708-786-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5TH AVE & ROOSEVELT RD",
"address_2": "BUILDING 37 NW",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-786-7820",
"fax_number": "708-786-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "AMY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2008-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.032603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.