NPIMap

Organization Active NPI

Burke Pharmacy Inc

  • Prosthetic/Orthotic Supplier
  • Morganton, NC
National Provider Identifier
1841253523
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BURKE PHARMACY INC
Practice address
301 W Meeting St
Morganton, NC 28655-3866
Phone
(828) 437-8025
Fax
(828) 438-8755
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Van T Clontz, TECH/DME
Title
Owner/
Phone
(828) 437-8025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5037 NC
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

301 W Meeting St
Morganton, NC 28655-3866

Mailing address

301 W Meeting St
Morganton, NC 28655-3866
Phone (828) 437-8025

Other identifiers 1

IdentifierTypeStateIssuer
7700344MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1841253523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MEETING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553866",
            "telephone_number": "828-437-8025",
            "fax_number": "828-438-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MEETING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553866",
            "telephone_number": "828-437-8025",
            "fax_number": "828-438-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "CLONTZ",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/",
        "authorized_official_telephone_number": "828-437-8025",
        "authorized_official_credential": "TECH/DME"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "5037",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700344",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.