BURNHAM'S VITAL CARE LLC NPI 1174693105

NPI Information

  • NPI: 1174693105
  • Provider Name: BURNHAM'S VITAL CARE LLC
  • Classification: Pharmacy - 3336H0001X
  • Specialization: Home Infusion Therapy Pharmacy
  • Entity Type: Organization
  • Address: 4931 MAIN ST # B
    MOSS POINT, MS
    ZIP 39563
  • Phone: (228) 474-4663

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NPI Details

BURNHAM'S VITAL CARE LLC is a home infusion therapy pharmacy pharmacy in Moss Point, MS. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. BURNHAM'S VITAL CARE LLC NPI is 1174693105. The provider is registered as an organization entity type.

The provider's business location address is:

4931 MAIN ST # B
MOSS POINT, MS
ZIP 39563-746
Phone: (228) 474-4663
Fax: (228) 474-7660

The provider's authorized official is Alvin Craig Sartin .
The authorized official title is President and has the following contact phone number (228) 474-4663.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 12/12/2022.

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
1332B00000XDurable Medical Equipment & Medical Supplies05113021MISSISSIPPINo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies05113021MISSISSIPPINo
3333600000XPharmacy05113021MISSISSIPPINo
43336C0003XPharmacyCommunity/Retail Pharmacy05113021MISSISSIPPINo
53336M0002XPharmacyMail Order Pharmacy05113021MISSISSIPPINo
63336S0011XPharmacySpecialty Pharmacy05113021MISSISSIPPINo
73336H0001XPharmacyHome Infusion Therapy Pharmacy05113021MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000030050OTHERMISSISSIPPIBCBS OF MS
202577580MEDICAIDMISSISSIPPI
31268160MEDICAIDMISSISSIPPI
42520840OTHERNABP
5611333100OTHERMISSISSIPPIOWCP - DME

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: 11/21/2025

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