NPIMap

Organization Active NPI

Burke Community Pharmacy Inc

Doing business as White River Community Pharmacy

  • Community/Retail Pharmacy
  • White River, SD
National Provider Identifier
1730299793
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
100-2052 Issued in SD
Legal business name
BURKE COMMUNITY PHARMACY INC
Doing business as
White River Community Pharmacy
Practice address
309 East 4TH St.
White River, SD 57579
Phone
(605) 259-3102
Fax
(605) 259-3562
NPI assigned
Aug 30, 2006
Last updated
May 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Renee Sutton
Title
Pharmacist in Charge
Phone
(605) 775-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 100-2052 SD Primary

Addresses

Primary practice location

309 East 4TH St.
White River, SD 57579

Mailing address

309 East 4TH St.
White River, SD 57579
Phone (605) 259-3102

Other identifiers 1

IdentifierTypeStateIssuer
2176201OtherPK

Other names 1

  • White River Community Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Burke Community Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1730299793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 EAST 4TH ST.",
            "city": "WHITE RIVER",
            "state": "SD",
            "postal_code": "57579",
            "telephone_number": "605-259-3102",
            "fax_number": "605-259-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 EAST 4TH ST.",
            "city": "WHITE RIVER",
            "state": "SD",
            "postal_code": "57579",
            "telephone_number": "605-259-3102",
            "fax_number": "605-259-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "605-775-2294"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SD",
            "license": "100-2052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176201",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White River Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White River Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White River, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.