Active NPI
Jillian Burgess, PHARMD
- Pharmacist
- Enterprise, AL
National Provider Identifier
1649517707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16771
- Practice address
- 847 Boll Weevil Cir
Ste 112
Enterprise, AL 36330-2472 - Phone
- (334) 348-1526
- Fax
- (334) 348-1978
- NPI assigned
- Jan 9, 2013
- Last updated
- Sep 23, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16771 | AL | Primary |
Addresses
Primary practice location
847 Boll Weevil Cir
Ste 112
Enterprise, AL 36330-2472
Mailing address
847 Boll Weevil Cir
Ste 112
Enterprise, AL 36330-2472
Phone (334) 348-1526
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16771 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1649517707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 BOLL WEEVIL CIR",
"address_2": "STE 112",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302472",
"telephone_number": "334-348-1526",
"fax_number": "334-348-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 BOLL WEEVIL CIR",
"address_2": "STE 112",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302472",
"telephone_number": "334-348-1526",
"fax_number": "334-348-1978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "JILLIAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.