Terry Burgess

Primary specialty

PharmacistTaxonomy code 183500000X

License

36549 Issued in SC

Practice address

200 W Hospital Dr
Whiteriver, AZ 85941-0000

Phone

(928) 338-3502

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2016.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1780130310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859410860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W HOSPITAL DR",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859410000",
            "telephone_number": "928-338-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "TERRY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "36549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christal A Brewer, SLPA
• Daniel Ashley Brimm, PA-C
• Kevin Brooks, RPH
• Kenneth Brown, M.S.W.
• Laura Brooks Brown, M.D.
• Jose Alberto Burgos, RN
• Beverly A Cail, DNP, FNP-C
• Brian N Campbell, PHARM.D.
• Ashley Nichole Carnright, RN
• Rachael Caster, D.O.

• All providers in Whiteriver, AZ
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.