BURKE CENTER (NPI# 1164518163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164518163 |
Entity Type | Organization |
Organization Name | BURKE CENTER |
Other Organization Name | EAST TEXAS BEHAVIORAL HEALTHCARE NETWORK PHARMACY |
Practice Address |
2704 Homer Alto Rd Lufkin TX 75904-8750 |
Practice Telephone | 8005646701 |
Practice Fax Number | 8005647591 |
Mailing Telephone | 8005646701 |
Mailing Fax Number | 8005647591 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2019-04-30 |
Authorized Official Name | TED ZIESCHANG (DIRECTOR OF PHARMACY) |
Authorized Official Telephone | 9366345664 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
22928 | TX | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2096453 | 01 | |
TX | 145375 | 05 |
Other Name | Type Code |
---|---|
East Texas Behavioral Healthcare Network Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245894682 | Burke Center | Pharmacy | 1522 W Frank Ave Ste 109, Lufkin, TX 75904-3334 | 2019-04-30 |
1770636037 | Burke Center | Intermediate Care Facility, Mentally Retarded | 2105 N John Redditt, Lufkin, TX 75904 | 2007-01-19 |
1689727133 | Burke Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2105 N John Redditt Dr, Lufkin, TX 75904 | 2007-01-19 |
1467502187 | Burke Center | Intermediate Care Facility, Mental Illness | 46 W Bay Dr, Jasper, TX 75951-5532 | 2007-01-12 |
1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
1689724296 | Burke Center | Intermediate Care Facility, Mental Illness | 700 Mcmahon Ave, Newton, TX 75966 | 2007-01-12 |
1174673891 | Burke Center | Intermediate Care Facility, Mental Illness | 200 Stubblefield Dr, Diboll, TX 75941-2117 | 2007-01-12 |
1164573770 | Burke Center | Intermediate Care Facility, Mental Illness | Delta Heights & Temple Ave, Pineland, TX 75968 | 2007-01-12 |
1972653582 | Burke Center | Intermediate Care Facility, Mental Illness | 703 W. Martin Luther King Drive, Kirbyville, TX 75956 | 2007-01-12 |
1083764112 | Burke Center | Intermediate Care Facility, Mental Illness | 2712 Se Stallings Dr, Nacogdoches, TX 75961-7442 | 2007-01-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BURKE CENTER FOR YOUTH | 20800 Fr 150 W, Driftwood, TX 78619-9202 |
Street Address |
2704 HOMER ALTO RD |
City | LUFKIN |
State | TX |
Zip Code | 75904-8750 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
Find all providers in zip 75904 |
Taxonomy Code | 3336M0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Mail Order Pharmacy |
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972230 | Covetrus Pharmacy Services, LLC | Pharmacy | 14800 Faa Blvd Ste 150, Fort Worth, TX 76155-2252 | 2020-11-02 |
1821612441 | Genesis Apothecary Inc | Pharmacy | 101 Southwestern Blvd Ste 100, Sugar Land, TX 77478-3548 | 2020-05-29 |
1801419692 | Jolanto Corporation | Pharmacy | 10101 Southwest Fwy Ste 315, Houston, TX 77074-1111 | 2020-05-27 |
1407494917 | Recept Pharmacy, Lp | Pharmacy | 10412 Vista Del Sol Dr Ste 1a, El Paso, TX 79925-7937 | 2019-12-16 |
1396381935 | Recept Pharmacy, Lp | Pharmacy | 800 8th Ave Ste 130, Fort Worth, TX 76104-2606 | 2019-11-19 |
1265074207 | Health America LLC | Pharmacy | 541 W Main St Ste 140, Lewisville, TX 75057-3666 | 2019-10-10 |
1144871245 | Scriptco | Pharmacy | 6916 Woodway Dr, Woodway, TX 76712-6148 | 2019-09-20 |
1801365366 | Debons Business Management Inc D/b/a Joe Pil | Pharmacy | 6909 W Fm 2147, Horseshoe Bay, TX 78657-6434 | 2018-11-14 |
1821584764 | Randal Riverside Corporation | Pharmacy | 3360 Matlock Rd, Arlington, TX 76015-2907 | 2018-07-03 |
1215421227 | Randal Riverside Corporation | Pharmacy | 3360 Matlock Rd # 100, Arlington, TX 76015-2907 | 2018-06-22 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.