Nai S Burget

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Astoria, OR

NPI 1669988713 · NPPES record last updated Jul 31, 2024

Key facts

NPI
1669988713
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
0016443 (OR)
Practice address
2120 Exchange St Ste 101
Astoria, OR 97103-3366
Phone
(503) 338-4560
Fax
(866) 248-0883
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0016443ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0016443 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0016443 OR Yes

Addresses

Primary practice location

2120 Exchange St Ste 101
Astoria, OR 97103-3366

Mailing address

40129 Riverview Ter
Astoria, OR 97103-8617

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2024.

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1669988713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40129 RIVERVIEW TER",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971038617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXCHANGE ST STE 101",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033366",
            "telephone_number": "503-338-4560",
            "fax_number": "866-248-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGET",
        "first_name": "NAI",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0016443",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0016443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

All providers in Astoria, OR · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.