Individual provider Active NPI

Ronald Joseph Burris

  • Community/Retail Pharmacy
  • Wesley Chapel, FL
National Provider Identifier
1962976217
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH31652 Issued in FL
Practice address
26829 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4612
Phone
(813) 994-9600
Fax
(813) 994-9696
NPI assigned
Jan 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH31652 FL Primary

Addresses

Primary practice location

26829 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4612

Mailing address

26829 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4612
Phone (813) 994-9600

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

State licenses

LicenseStateTypeSpecialty
PH31652FLMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmaoverseas LLC Community/Retail Pharmacy Current Accepting new patients
Cypress Creek Pharmacy LLC Community/Retail Pharmacy Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1962976217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26829 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444612",
            "telephone_number": "813-994-9600",
            "fax_number": "813-994-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26829 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444612",
            "telephone_number": "813-994-9600",
            "fax_number": "813-994-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "RONALD",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH31652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.