Declan Aidan Burke, PHARMACY TECHNICIAN

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

0230036247 Issued in VA

Practice address

1808 Salem Rd
Virginia Beach, VA 23456-1393

Phone

(757) 471-1053

Fax

(757) 471-3309

NPI assigned

Mar 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1205935533
  NPD (past)
• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1720780752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SALEM RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561393",
            "telephone_number": "757-471-1053",
            "fax_number": "757-471-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SALEM RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234561393",
            "telephone_number": "757-471-1053",
            "fax_number": "757-471-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DECLAN",
        "middle_name": "AIDAN",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "VA",
            "license": "0230036247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladylu Burgos Lugo, MSW
• Chelsea Burkart, R.D., C.S.S.D.
• Burke Eye Care, Inc.
• Ariana Burke
• Courtney Burke
• Jefshauna Burke
• Laura Burke, O.D.
• Mary Kathryn Burke
• Robyn Burke
• Tonia M Burke, DPT

• All providers in Virginia Beach, VA
• Pharmacy Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.