EAST BURKE PHARMACY INC. NPI 1861500118

NPI Information

NPI: 1861500118
Provider Name: EAST BURKE PHARMACY INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 34D2183790

Address:
300 MAIN AVE WEST
HILDEBRAN, NC
ZIP 28637
Phone: (828) 397-3420
Get Directions

EAST BURKE PHARMACY INC. is a durable medical equipment medical supplies in Hildebran, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EAST BURKE PHARMACY INC. NPI is 1861500118. The provider is registered as an organization entity type.

The provider's business location address is:

300 MAIN AVE WEST
HILDEBRAN, NC
ZIP 28637
Phone: (828) 397-3420

The provider's authorized official is Leigh Anne Abernathy .
The authorized official title is Pharmacist and has the following contact phone number (828) 397-3420.

The CLIA number assigned to this NPI record is 34D2183790 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 3/15/2010.

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
1	333600000X	Pharmacy		7730	NORTH CAROLINA	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	7730	NORTH CAROLINA	No
3	335E00000X	Prosthetic/Orthotic Supplier		7730	NORTH CAROLINA	No
4	332B00000X	Durable Medical Equipment & Medical Supplies		7730	NORTH CAROLINA	Yes

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
1	4191560002	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	3438618	OTHER	NORTH CAROLINA	NCPDP
3	0125542	MEDICAID	NORTH CAROLINA

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

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