Individual provider Active NPI

Joshua Burke

  • Community/Retail Pharmacy
  • Topsham, ME
National Provider Identifier
1629809199
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PR72155 Issued in ME
Practice address
49 Topsham Fair Mall Rd Ste 1
Topsham, ME 04086-1734
Phone
(207) 729-3800
NPI assigned
Aug 8, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PR72155 ME Primary

Addresses

Primary practice location

49 Topsham Fair Mall Rd Ste 1
Topsham, ME 04086-1734

Mailing address

49 Topsham Fair Mall Rd Ste 1
Topsham, ME 04086-1734
Phone (207) 729-3800

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

LicenseStateTypeSpecialty
PR72155MEMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Hannaford Bros Co LLC Community/Retail Pharmacy PastSince Aug 11, 2024 Accepting new patients
Hannaford Bros. Co., LLC Community/Retail Pharmacy PastSince Aug 11, 2024 Accepting new patients

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": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1629809199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 TOPSHAM FAIR MALL RD STE 1",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861734",
            "telephone_number": "207-729-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 TOPSHAM FAIR MALL RD STE 1",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861734",
            "telephone_number": "207-729-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PR72155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topsham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.