Burtis Drug, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

11854 Issued in TX

Legal business name

BURTIS DRUG, INC.

Practice address

815 N O Connor Rd
Irving, TX 75061-4510

Phone

(972) 579-0511

Fax

(972) 579-0512

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Austin Burtis Sr., PHA

Title

Owner

Phone

(972) 579-0511

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gibson Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Son Thanh Nguyen, PHARMD

  • Pharmacist
  • Southlake, TX
  • NPI 1275861700
  NPD (past)
• Merli Mabel Reyes, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Irving, TX
  • NPI 1003930595
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1700998614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614510",
            "telephone_number": "972-579-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614510",
            "telephone_number": "972-579-0511",
            "fax_number": "972-579-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURTIS DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BURTIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-579-0511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "11854",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4545565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peri Elizabeth Burns, APRN-CNM
• Tracey Michell Burns
• Sharon S Burr, PHD
• Cameron Burrell
• Leon Burrell
• Merkieann Alesia Burton-Madden, PSY. D.
• Michelle R Burwell, M.ED., BCBA
• Courtney Buzbee, PA-C
• L Kay Byers, LPC
• Anitha Byreddy, MD, MPH

• All providers in Irving, TX
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.