Burleson Pharmacy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BURLESON PHARMACY LLC

Doing business as

BURLESON HEALTH AND WELLNESS

Practice address

344 SW Wilshire Blvd Ste P
Burleson, TX 76028-5343

Phone

(469) 307-6162

Fax

(817) 720-5553

NPI assigned

Jan 2, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mahathi KankanalaNPI 1942805452

Title

Pharmacy Owner

Phone

(817) 720-5555

Specialties & licenses 1

Addresses

Other names 1

• BURLESON HEALTH AND WELLNESS Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahathi Kankanala

  • Pharmacist
  • Burleson, TX
  • NPI 1942805452
  NPD Authorized official
• Frank Paul Jircik, MD

  • Internal Medicine Physician
  • Burleson, TX
  • NPI 1497711840
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1508675760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 SW WILSHIRE BLVD STE P",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285343",
            "telephone_number": "469-307-6162",
            "fax_number": "817-720-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 SW WILSHIRE BLVD STE P",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285343",
            "telephone_number": "469-307-6162",
            "fax_number": "817-720-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLESON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "KANKANALA",
        "authorized_official_first_name": "MAHATHI",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "817-720-5555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURLESON HEALTH AND WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Burleson Independent School District
• Burleson Moders Dentistry, PC
• Burleson Nursing & Rehab Center, Inc
• Burleson Pediatric Dental Center LLC
• Burleson Pediatric Dentistry
• Burleson Pharmacy LLC
• Austin R Burnett, FNP-C
• Bryan Lynn Butler, LPC, LCDC
• Anthony Caballero
• Jose Calderon, PA-C

• Clinic/Center in Burleson, TX
• Providers in Burleson, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.