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BURGESS DRUG STORE INC. NPI 1942847686


NPI Information

NPI: 1942847686
Provider Name: BURGESS DRUG STORE INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1 S. CREEK DR.
STE. #122
MONTICELLO, KY
ZIP 42633
Phone: (606) 376-5043
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BURGESS DRUG STORE INC. is a pharmacy in Monticello, KY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BURGESS DRUG STORE INC. NPI is 1942847686. The provider is registered as an organization entity type.

The provider's business location address is:

1 S. CREEK DR.
STE. #122
MONTICELLO, KY
ZIP 42633
Phone: (606) 376-5043
Fax: (606) 376-5466

The provider's authorized official is Jaime P. Ball .
The authorized official title is Dr./owner and has the following contact phone number (606) 310-3910.

The enumeration date for this NPI number is 12/2/2019 and was last updated on 12/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyYes
23336C0003XPharmacyCommunity/Retail PharmacyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.