Active NPI
Austin William Bourke, CPHT
- Pharmacy Technician
- North Charleston, SC
National Provider Identifier
1497641047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 68114
- Practice address
- 8571 Bayboro LN
North Charleston, SC 29420-7103 - Phone
- (412) 737-0681
- NPI assigned
- Jun 17, 2025
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 68114 | SC | Primary |
Addresses
Primary practice location
8571 Bayboro LN
North Charleston, SC 29420-7103
Mailing address
8571 Bayboro LN
North Charleston, SC 29420-7103
Phone (412) 737-0681
Other names 1
- Austin William O'Malley
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 |
|---|---|---|---|
| 68114 | SC | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1497641047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8571 BAYBORO LN",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207103",
"telephone_number": "412-737-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8571 BAYBORO LN",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207103",
"telephone_number": "412-737-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURKE",
"first_name": "AUSTIN",
"middle_name": "WILLIAM",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "SC",
"license": "68114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUSTIN",
"last_name": "O'MALLEY",
"middle_name": "WILLIAM",
"credential": "CPHT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.