Active NPI
Mike Burklow
- Pharmacist
- Camden, AL
National Provider Identifier
1992300248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12807
- Practice address
- 7 Camden Byp
Camden, AL 36726-1707 - Phone
- (334) 682-2900
- NPI assigned
- Dec 3, 2020
- Last updated
- Dec 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12807 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy, L.L.C. | Current | Accepting new patients | |
| Alabama CVS Pharmacy LLC | Past | 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, 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": "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
- Alabama CVS Pharmacy, L.L.C. (CVS Pharmacy #04973)
- Alabama Tombigbee Regional Commission
- Amanda Cotton Counseling, LLC
- Bio-Medical Applications of Alabama, Inc. (FMC Dialysis Services Wilcox County)
- Sumpter Dudley Blackmon, M.D.
- Camden Drug Company, Inc.
- Camden Homecare, LLC (Adoration Home Health)
- Camden Nursing Facility Inc
- Shenella Latosha Carlisle, CRNP
- Amanda Howard Cotton, LICSW
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.