Nancy Kathryn Burke, PHARMD
Individual provider Active NPI Pharmacist · Portage, IN
NPI 1700433422 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1700433422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26024550A (IN)
- Practice address
- 6087 US Highway 6
Portage, IN 46368-5046 - Phone
- (219) 759-5811
- NPI assigned
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26024550A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26024550A | IN | Yes |
Addresses
Primary practice location
6087 US Highway 6
Portage, IN 46368-5046
Mailing address
920 Lillian Russell CT
Crown Point, IN 46307-7517
Phone (812) 773-9593
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.