Active NPI
Jonessa Lynne Burkholder, PHARM.D.
- Pharmacist
- Lisbon, OH
National Provider Identifier
1699984187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-1-27189
- Practice address
- 7844 State Route 45
Lisbon, OH 44432-9396 - Phone
- (330) 424-7743
- NPI assigned
- May 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 03-1-27189 | OH | Primary |
Addresses
Primary practice location
7844 State Route 45
Lisbon, OH 44432-9396
Mailing address
16495 Freed St SE
Minerva, OH 44657-9106
Phone (330) 868-7063
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
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane Drug Co | Past | Accepting new patients | |
| Lane Drug Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699984187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16495 FREED ST SE",
"city": "MINERVA",
"state": "OH",
"postal_code": "446579106",
"telephone_number": "330-868-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7844 STATE ROUTE 45",
"city": "LISBON",
"state": "OH",
"postal_code": "444329396",
"telephone_number": "330-424-7743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHOLDER",
"first_name": "JONESSA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-1-27189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisbon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.