Active NPI
Mary Catherine Burkett, RPH
- Pharmacist
- Clearwater, FL
National Provider Identifier
1871835280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS29426
- Practice address
- 501 S Lincoln Ave
Suite 10
Clearwater, FL 33756-5945 - Phone
- (727) 479-3048
- Fax
- (727) 479-3047
- NPI assigned
- Mar 23, 2013
- Last updated
- Mar 23, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS29426 | FL | Primary |
| Pharmacist | 183500000X | RP-037946-L | PA |
Addresses
Primary practice location
501 S Lincoln Ave
Suite 10
Clearwater, FL 33756-5945
Mailing address
2070 Envoy CT
Clearwater, FL 33764-2560
Phone (727) 709-4549
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS29426 | FL | MD | Pharmacist |
| RP-037946-L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kmart Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363996800000",
"number": "1871835280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 ENVOY CT",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337642560",
"telephone_number": "727-709-4549",
"fax_number": "727-479-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S LINCOLN AVE",
"address_2": "SUITE 10",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565945",
"telephone_number": "727-479-3048",
"fax_number": "727-479-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKETT",
"first_name": "MARY",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-23",
"last_updated": "2013-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS29426",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-037946-L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.