Active NPI
Kyle Patrick Burks, PHARM.D.
- Pharmacist
- Mebane, NC
National Provider Identifier
1720463144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25402
- Practice address
- 801 Mebane Oaks Rd
Mebane, NC 27302-7643 - Phone
- (919) 563-5521
- NPI assigned
- Jul 27, 2015
- Last updated
- Jul 27, 2015
- 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 | 25402 | NC | Primary |
Addresses
Primary practice location
801 Mebane Oaks Rd
Mebane, NC 27302-7643
Mailing address
8304 Spring Meadow Dr
Chapel Hill, NC 27517-9065
Phone (417) 689-0834
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 |
|---|---|---|---|
| 25402 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen 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": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1720463144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8304 SPRING MEADOW DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179065",
"telephone_number": "417-689-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MEBANE OAKS RD",
"city": "MEBANE",
"state": "NC",
"postal_code": "273027643",
"telephone_number": "919-563-5521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKS",
"first_name": "KYLE",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.