Duane Wilbur Burton, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2011007380 Issued in MO

Practice address

675 Monaco Dr
Edwardsville, IL 62025-5331

Phone

(618) 444-3793

NPI assigned

Apr 30, 2013

Last updated

Apr 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1821433178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MONACO DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255331",
            "telephone_number": "618-444-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MONACO DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255331",
            "telephone_number": "618-444-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "DUANE",
        "middle_name": "WILBUR",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-032594",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2011007380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhi Khanh Bui
• Building Blocks Pediatric Therapy
• Jean Hanako Bundren, SRNA
• Carla Michelle Burdette
• Jenafer Marie Burns, RN
• Matthew Burton, DPT
• Colton Phillip Butler, RN
• Sarah Elyse Sandheinrich Butler, RN
• C David Brickman DDS Ms PC
• Carter Stephen Cahoon

• Pharmacist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.