Marti Lea Burgess, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

12450 Issued in AL

Practice address

2570 Government Blvd
Mobile, AL 36606-1614

Phone

(251) 586-6481

Fax

(251) 586-6482

NPI assigned

Jun 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Mobile, AL
  • NPI 1730558123
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497744000000",
    "number": "1992235378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N INGLESIDE ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322924",
            "telephone_number": "251-689-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 GOVERNMENT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061614",
            "telephone_number": "251-586-6481",
            "fax_number": "251-586-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "MARTI",
        "middle_name": "LEA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12450",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara A. Burckhartt, MD
• Holli Ann Burden
• Matthew Todd Burden, M.D.
• Christina Gary Burford, M.A., C.C.C.-S.L.P
• Brady Burge, CRNP
• Machelle Burke, PHARMACIST
• Alexander Burkett
• Elizabeth Anderson Burkett, MD
• Jared Locke Burkett, MD
• Jayda Celeste Burkett, LMT

• Pharmacist in Mobile, AL
• Providers in Mobile, AL by specialty
• Pharmacist in Alabama

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