Active NPI
William Burke LTD
Doing business as Main Healthcare Pharmacy
- Long Term Care Pharmacy
- Bettendorf, IA
National Provider Identifier
1699832451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 152
- Legal business name
- WILLIAM BURKE LTD
- Doing business as
- Main Healthcare Pharmacy
- Practice address
- 2151 Kimberly Rd
Bettendorf, IA 52722-3628 - Phone
- (563) 324-5004
- Fax
- (563) 324-3305
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Ploehn
- Title
- Owner
- Phone
- (563) 324-5004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 152 | IA | Primary |
Addresses
Primary practice location
2151 Kimberly Rd
Bettendorf, IA 52722-3628
Mailing address
2151 Kimberly Rd
Bettendorf, IA 52722-3628
Phone (563) 324-5004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1069195 | Medicaid | IA |
Other names 1
- MAIN HEALTHCARE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- William Burke LTD
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Main Healthcare Pharmacy
- Long Term Care Pharmacy
- North Liberty, IA
- NPI 1518296920
-
dba Main at Locust Pharmacy and Clinic
- Clinic Pharmacy
- Davenport, IA
- NPI 1851620066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708646400000",
"number": "1699832451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 KIMBERLY RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223628",
"telephone_number": "563-324-5004",
"fax_number": "563-324-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 KIMBERLY RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223628",
"telephone_number": "563-324-5004",
"fax_number": "563-324-3305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM BURKE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A",
"authorized_official_last_name": "PLOEHN",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "563-324-5004"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "IA",
"license": "152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1069195",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MAIN HEALTHCARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.