NPIMap

Organization Active NPI

William Burke LTD

Doing business as Main Healthcare Pharmacy

  • Long Term Care Pharmacy
  • North Liberty, IA
National Provider Identifier
1518296920
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1367 Issued in IA
Legal business name
WILLIAM BURKE LTD
Doing business as
Main Healthcare Pharmacy
Practice address
655 Liberty Way Ste 3And4
North Liberty, IA 52317-9154
Phone
(319) 665-2855
NPI assigned
Dec 14, 2009
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Andrew Ploehn
Title
Owner
Phone
(563) 324-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 1367 IA Primary

Addresses

Primary practice location

655 Liberty Way Ste 3And4
North Liberty, IA 52317-9154

Mailing address

2151 Kimberly Rd
Bettendorf, IA 52722-3628
Phone (563) 324-5004

Other identifiers 1

IdentifierTypeStateIssuer
1623746OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MAIN HEALTHCARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
William Burke LTD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

655 Liberty Way
Ste 3
North Liberty, IA 52317
Phone (319) 665-2855

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1518296920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 KIMBERLY RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223628",
            "telephone_number": "563-324-5004",
            "fax_number": "563-324-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 LIBERTY WAY STE 3AND4",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179154",
            "telephone_number": "319-665-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BURKE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "PLOEHN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-324-5004"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1623746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN HEALTHCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.