Organization Active NPI

Burgie Drug Store LLC

Doing business as Burgie Drug Store

  • Community/Retail Pharmacy
  • Elizabethton, TN
National Provider Identifier
1871504449
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
348 Issued in TN
Legal business name
BURGIE DRUG STORE LLC
Doing business as
Burgie Drug Store
Practice address
1000 W G St
Elizabethton, TN 37643-2959
Phone
(423) 542-4622
Fax
(423) 542-2564
NPI assigned
Aug 10, 2006
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Rebecca Wilkins
Title
Owner
Phone
(423) 542-4622

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 348 TN Primary

Addresses

Primary practice location

1000 W G St
Elizabethton, TN 37643-2959

Mailing address

1000 W G St
Elizabethton, TN 37643-2959
Phone (423) 542-4622

Other identifiers 1

IdentifierTypeStateIssuer
2094801OtherPK

Other names 1

  • BURGIE DRUG STORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231006002385 TN Part B Supplier - Pharmacy 2062728678 Practice locations: Elizabethton, TN

National Provider Directory

National Provider Directory

Locations

1000 W G St
Elizabethton, TN 37643
Phone (423) 542-3443

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1871504449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W G ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432959",
            "telephone_number": "423-542-4622",
            "fax_number": "423-542-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W G ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432959",
            "telephone_number": "423-542-4622",
            "fax_number": "423-542-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGIE DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-542-4622"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094801",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURGIE DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BURGIE DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.