Individual provider Active NPI

Mike Burklow

  • Pharmacist
  • Camden, AL
National Provider Identifier
1992300248
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12807 Issued in AL
Practice address
7 Camden Byp
Camden, AL 36726-1707
Phone
(334) 682-2900
NPI assigned
Dec 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12807 AL Primary

Addresses

Primary practice location

7 Camden Byp
Camden, AL 36726-1707

Mailing address

CVS Pharmacy
Camden, AL 36726
Phone (334) 682-2900

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
12807ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy, L.L.C. CurrentSince Mar 31, 2024 Accepting new patients
Alabama CVS Pharmacy LLC PastSince Dec 6, 2020 Accepting new patients

Locations

7 Camden Byp
Camden, AL 36726
Phone (334) 682-2900

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1992300248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CVS PHARMACY",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "36726",
            "telephone_number": "334-682-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261707",
            "telephone_number": "334-682-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKLOW",
        "first_name": "MIKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.