Active NPI
Conner Burnham, PHARM D.
- Pharmacist
- Cullman, AL
National Provider Identifier
1700613569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23731
- Practice address
- 1824 Main Ave SW
Cullman, AL 35055-5253 - Phone
- (256) 739-0095
- NPI assigned
- Sep 16, 2024
- Sex
- Male
- 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 | 23731 | AL | Primary |
Addresses
Primary practice location
1824 Main Ave SW
Cullman, AL 35055-5253
Mailing address
45 County Road 1160
Cullman, AL 35057-5267
Phone (256) 595-4893
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23731 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VCM Pharmacy Operations LLC | Current | Accepting new patients | |
| Econo Med Inc. | Past | Accepting new patients |
Locations
1824 Main Ave SW
Cullman, AL 35055
Phone (256) 739-0095
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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Cullman, AL
- NPI 1205523727
-
- Long Term Care Pharmacy
- Cullman, AL
- NPI 1912071150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1700613569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 COUNTY ROAD 1160",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350575267",
"telephone_number": "256-595-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 MAIN AVE SW",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350555253",
"telephone_number": "256-739-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNHAM",
"first_name": "CONNER",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "23731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.