Organization Active NPI

Burke Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Pasadena, TX
National Provider Identifier
1679863575
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27402 Issued in TX
Legal business name
BURKE FAMILY PHARMACY INC
Doing business as
Burke Family Pharmacy
Practice address
722 Fairmont Pkwy
Pasadena, TX 77504-2804
Phone
(832) 243-6262
Fax
(832) 243-6692
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Troy Cameron
Title
Officer
Phone
(409) 498-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27402 TX Primary

Addresses

Primary practice location

722 Fairmont Pkwy
Pasadena, TX 77504-2804

Mailing address

722 Fairmont Pkwy
Pasadena, TX 77504-2804
Phone (832) 243-6262

Other identifiers 2

IdentifierTypeStateIssuer
146472MedicaidTX
2129931OtherPK

Other names 1

  • Burke Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1679863575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042804",
            "telephone_number": "832-243-6262",
            "fax_number": "832-243-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042804",
            "telephone_number": "832-243-6262",
            "fax_number": "832-243-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "409-498-0065"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146472",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129931",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burke Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.