Ronald D Burcham, RPH
Individual provider Active NPI Pharmacist · Calhoun, GA
NPI 1497052534 · NPPES record last updated Feb 25, 2011
Key facts
- NPI
- 1497052534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 013626 (GA)
- Practice address
- 1101 Red Bud Rd NE
Calhoun, GA 30701-9278 - Phone
- (706) 602-1658
- NPI assigned
- Feb 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013626 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 013626 | GA | Yes |
Addresses
Primary practice location
1101 Red Bud Rd NE
Calhoun, GA 30701-9278
Mailing address
1101 Red Bud Rd NE
Calhoun, GA 30701-9278
Phone (706) 602-1658
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.