Active NPI
Todd Burke
- Pharmacist
- Wyoming, RI
National Provider Identifier
1982207197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RI3798
- Practice address
- 1187 Maint St
Wyoming, RI 02818 - Phone
- (401) 539-4000
- NPI assigned
- Nov 19, 2020
- Last updated
- Nov 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RI3798 | RI | Primary |
Addresses
Primary practice location
1187 Maint St
Wyoming, RI 02818
Mailing address
1187 Main St
Wyoming, RI 02898-1074
Phone (401) 539-4000
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
| 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 |
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, 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": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1982207197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 MAIN ST",
"city": "WYOMING",
"state": "RI",
"postal_code": "028981074",
"telephone_number": "401-539-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1187 MAINT ST",
"city": "WYOMING",
"state": "RI",
"postal_code": "02818",
"telephone_number": "401-539-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "TODD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RI3798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyoming, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.