Todd Burke
Individual provider Active NPI Pharmacist · Wyoming, RI
NPI 1982207197 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1982207197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RI3798 (RI)
- Practice address
- 1187 Maint St
Wyoming, RI 02818 - Phone
- (401) 539-4000
- NPI assigned
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI3798 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island CVS Pharmacy LLC | Past |
Accepting new patients | |
| Rhode Island CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RI3798 | RI | Yes |
Addresses
Primary practice location
1187 Maint St
Wyoming, RI 02818
Mailing address
1187 Main St
Wyoming, RI 02898-1074
Phone (401) 539-4000
Other providers in Wyoming, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.