Active NPI
Molly Elizabeth Burnett, PHARMD
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1447774724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP451613
- Practice address
- 1 S Broad St Lbby 2
Philadelphia, PA 19107-3426 - Phone
- (267) 330-0290
- NPI assigned
- Jul 28, 2017
- Sex
- Female
- 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 | RP451613 | PA | Primary |
Addresses
Primary practice location
1 S Broad St Lbby 2
Philadelphia, PA 19107-3426
Mailing address
522 Delaware Ave
Norwood, PA 19074-1106
Phone (610) 316-9675
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007669700166 | Medicaid | PA | |
| P00400633 | Other | MEDICARE PIN | |
| 3998967 | Other | PA | NCPDP |
| 0282938441 | Other | MEDICARE NSC | |
| PHC049 | Other | MEDICARE PIN |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP451613 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Philadelphia, PA
- NPI 1275874216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501200000000",
"number": "1447774724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 DELAWARE AVE",
"city": "NORWOOD",
"state": "PA",
"postal_code": "190741106",
"telephone_number": "610-316-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S BROAD ST LBBY 2",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073426",
"telephone_number": "267-330-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "MOLLY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2017-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP451613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007669700166",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "P00400633",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3998967",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "0282938441",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "PHC049",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.