Kent A Burnside, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS21981 Issued in FL

Practice address

2911 E Fowler Ave
Tampa, FL 33612-6278

Phone

(813) 975-1998

Fax

(941) 955-3428

NPI assigned

Sep 16, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  • Pharmacy
  • Tampa, FL
  • NPI 1700980679
  NPD (past)

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1871875666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126278",
            "telephone_number": "813-975-1998",
            "fax_number": "941-955-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126278",
            "telephone_number": "813-975-1998",
            "fax_number": "941-955-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "KENT",
        "middle_name": "A",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-16",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS21981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Burns, BA OTR/L
• Lisa Burns, AG-ACNP-BC
• Sydney Burns, PA
• Alisha Burnside, LCSW
• Jheanell Burnside
• Sharmaine Burr
• Audrey Elizabeth Burris, PHARMD
• Heather L Burris
• Kelly A Burriss, MBA
• Adrielle Saani Burroughs, RBT

• Pharmacist in Tampa, FL
• Providers in Tampa, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.