Active NPI
James Dal Burgess, PHARMACIST
- Pharmacist
- Conway, AR
National Provider Identifier
1679382436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD06414
- Practice address
- 150 E Siebenmorgen Rd
Conway, AR 72032-4000 - Phone
- (501) 329-6851
- NPI assigned
- Jan 6, 2025
- Last updated
- Jan 6, 2025
- Sex
- Male
- 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 | PD06414 | AR | Primary |
Addresses
Primary practice location
150 E Siebenmorgen Rd
Conway, AR 72032-4000
Mailing address
526 Main St
Arkadelphia, AR 71923-6036
Phone (870) 246-5553
Other practice location 1
526 Main St
Arkadelphia, AR 71923-6036
Phone (870) 246-5553
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
| License | State | Type | Specialty |
|---|---|---|---|
| PD06414 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizons, LLC | Current | Accepting new patients | |
| Shane E. Ford OD PA | Past | Accepting new patients | |
| State of Arkansas | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Assisted Living Facility
- Hope, AR
- NPI 1518787290
-
dba Conway Human Development Center
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Conway, AR
- NPI 1093840282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1679382436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 MAIN ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719236036",
"telephone_number": "870-246-5553",
"fax_number": "870-246-5553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E SIEBENMORGEN RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720324000",
"telephone_number": "501-329-6851"
}
],
"practiceLocations": [
{
"address_1": "526 Main St",
"address_purpose": "LOCATION",
"city": "Arkadelphia",
"state": "AR",
"postal_code": "719236036",
"country_code": "US",
"telephone_number": "870-246-5553",
"fax_number": "870-246-5553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGESS",
"first_name": "JAMES",
"middle_name": "DAL",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD06414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.