Ashley Danielle Burris, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

051297835 Issued in IL

Practice address

379 W Pontoon Rd
Granite City, IL 62040-6848

Phone

(618) 451-6002

Fax

(618) 451-0454

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Granite City, IL
  • NPI 1407873789
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1992306286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 W PONTOON RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620406848",
            "telephone_number": "618-451-6002",
            "fax_number": "618-451-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 W PONTOON RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620406848",
            "telephone_number": "618-451-6002",
            "fax_number": "618-451-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "ASHLEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2014026312",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051297835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Lee Brock, RBT
• Jonathon D Brooks, D.C.
• Tamara Jill Buchwalter, CADC
• Timothy W Burgess, PT
• Patricia A Burns, PTA
• Kelly R Burton, RN
• Carla Ann Buzan, PT
• Nicole Cain
• Kegan Calkins
• Anne Marie Calvert, LCPC

• Pharmacist in Granite City, IL
• Providers in Granite City, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.