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
- 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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Clearwater, FL
- NPI 1568832517
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.