Active NPI
Kathleen Burke, P.D.
- Pharmacist
- Eldersburg, MD
National Provider Identifier
1750615084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 09421
- Practice address
- 6190 Georgetown Blvd
Eldersburg, MD 21784-6460 - Phone
- (410) 552-4220
- Fax
- (410) 552-4223
- NPI assigned
- Sep 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 09421 | MD | Primary |
Addresses
Primary practice location
6190 Georgetown Blvd
Eldersburg, MD 21784-6460
Mailing address
6190 Georgetown Blvd
Eldersburg, MD 21784-6460
Phone (410) 552-4220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09421 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1750615084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6190 GEORGETOWN BLVD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846460",
"telephone_number": "410-552-4220",
"fax_number": "410-552-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6190 GEORGETOWN BLVD",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846460",
"telephone_number": "410-552-4220",
"fax_number": "410-552-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "KATHLEEN",
"credential": "P.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-18",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "09421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.