Burgess Health Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1100 Issued in IA

Legal business name

BURGESS HEALTH CENTER

Doing business as

Whiting Family Pharmacy

Practice address

723 Whittier St
Whiting, IA 51063-1035

Phone

(712) 458-2500

Fax

(712) 458-2963

NPI assigned

Nov 7, 2006

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BURGESS HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Lynn R Wold

Title

Ceo

Phone

(712) 423-2311

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WHITING FAMILY PHARMACY Doing business as

Part of

Burgess Mem Hosp

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Rose, RPH

  • Pharmacist
  • Whiting, IA
  • NPI 1891911442
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1699844548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 WHITTIER ST",
            "city": "WHITING",
            "state": "IA",
            "postal_code": "510631035",
            "telephone_number": "712-458-2500",
            "fax_number": "712-458-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 WHITTIER ST",
            "city": "WHITING",
            "state": "IA",
            "postal_code": "510631035",
            "telephone_number": "712-458-2500",
            "fax_number": "712-458-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BURGESS HEALTH CENTER",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-423-2311"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1100",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029899",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197228",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITING FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WHITING FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Tania Anderson, LCSW
• Mitchell Brooks
• Burgess Health Center (Burgess Clinic - Whiting)
• City of Whiting (Whiting Vol. Fire Dept.)
• John L Garred Jr., M.D.
• J. L. Garred, Sr., M.D.P.C.
• Marla Krueger, RN
• Patrick J Pucelik, ARNP

• Community/Retail Pharmacy in Whiting, IA
• Providers in Whiting, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.