Individual provider Active NPI

Jeffrey McClain Burrough, PHARM. D.

  • Pharmacist
  • Jasper, AL
National Provider Identifier
1922524669
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20008 Issued in AL
Practice address
100 N Airport Rd
Jasper, AL 35504-7520
Phone
(205) 221-3150
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20008 AL Primary

Addresses

Primary practice location

100 N Airport Rd
Jasper, AL 35504-7520

Mailing address

PO Box 929
Carbon Hill, AL 35549-0929
Phone (205) 275-3571

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
20008ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Hill Drugs, LLC Current Accepting new patients
B & B Drugs LLC Pharmacist Current Accepting new patients
Carbon Hill Drugs, LLC Current Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Feb 27, 2022 Accepting new patients

Organizations & group practices 5

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1922524669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "CARBON HILL",
            "state": "AL",
            "postal_code": "355490929",
            "telephone_number": "205-275-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N AIRPORT RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047520",
            "telephone_number": "205-221-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROUGH",
        "first_name": "JEFFREY",
        "middle_name": "MCCLAIN",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "20008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.