Active NPI
Steven Jack Burch, RPH
- Pharmacist
- Universal City, TX
National Provider Identifier
1609116797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22519
- Practice address
- 910 Kitty Hawk Rd
Universal City, TX 78148-3806 - Phone
- (210) 945-2120
- Fax
- (210) 945-2134
- NPI assigned
- Feb 26, 2013
- Last updated
- Feb 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 22519 | TX | Primary |
Addresses
Primary practice location
910 Kitty Hawk Rd
Universal City, TX 78148-3806
Mailing address
910 Kitty Hawk Rd
Universal City, TX 78148-3806
Phone (210) 945-2120
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22519 | TX | MD | Pharmacist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1609116797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 KITTY HAWK RD",
"city": "UNIVERSAL CITY",
"state": "TX",
"postal_code": "781483806",
"telephone_number": "210-945-2120",
"fax_number": "210-945-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 KITTY HAWK RD",
"city": "UNIVERSAL CITY",
"state": "TX",
"postal_code": "781483806",
"telephone_number": "210-945-2120",
"fax_number": "210-945-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "STEVEN",
"middle_name": "JACK",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-26",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "22519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Universal City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.