DR. CHARLA LYNN BURGETT (NPI# 1174991962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174991962 |
| Entity Type | Individual |
| Full Name | DR. CHARLA LYNN BURGETT |
| Credential | PHARM.D |
| Practice Address |
90 Triangle St. Martin KY 41649 |
| Mailing Address |
90 Triangle St Martin KY 41649 |
| Practice Telephone | 6062850786 |
| Practice Fax Number | 6062850646 |
| Mailing Telephone | 6062850786 |
| Mailing Fax Number | 6062850646 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 012454 | KY | Pharmacy Service Providers |
| Street Address |
90 TRIANGLE ST. |
| City | MARTIN |
| State | KY |
| Zip Code | 41649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710531017 | Taylor Leigh Mcfadden | Dentist | 265 Ky Route 122, Suite 2, Martin, KY 41649 | 2019-07-25 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1962957431 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Route 122, Martin, KY 41649 | 2016-08-24 |
| 1275885832 | Janey Lynn Watts | Family Medicine | 263 Ky Route 122 Ste C, Martin, KY 41649 | 2012-10-08 |
| 1700038247 | Leigh Danielle Hamilton | Pharmacist | 262 Ky Route 122, Martin, KY 41649 | 2008-10-15 |
| 1578738944 | Floyd County Health Department | Public Health or Welfare | 481 Stephens Road, Martin, KY 41649 | 2008-04-28 |
| 1538333828 | Joshua Slone | Counselor | 11206 Main Street, Martin, KY 41649 | 2008-04-17 |
| 1073737722 | Susan Mayo Hamilton | Speech-Language Pathologist | 481 Stephens Branch Road, Martin, KY 41649 | 2007-04-12 |
| 1760528905 | Olin Andrew Elliott II | Dentist | 196 Ky Hwy 3188, Martin, KY 41649 | 2007-01-29 |
| 1942353883 | David Newsome | Counselor | 11206 Main St., Martin, KY 41649 | 2007-01-22 |
| Find all providers in zip 41649 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
| 1366944100 | Tammy Rene Boucher | Pharmacist | 536 Parham Rd, Martin, TN 38237-7147 | 2018-03-07 |
| 1336526318 | Chad Michael Kumm | Pharmacist | 119 S 1st Ave., Martin, SD 57551 | 2015-04-29 |
| 1679862478 | Stacia Renee Conley | Pharmacist | 262 Ky Rt 122, Martin, KY 41630 | 2011-04-01 |
| 1700038247 | Leigh Danielle Hamilton | Pharmacist | 262 Ky Route 122, Martin, KY 41649 | 2008-10-15 |
| 1275678906 | Stella D Caddell | Pharmacist | 317 S Lindell St, Martin, TN 38237-2440 | 2007-02-20 |
| 1427061134 | Jennifer Mischelle Hall | Pharmacist | 10870 Main Street, Martin, KY 41649 | 2006-08-14 |
| 1396701058 | Becky Capps Teal | Pharmacist | 319 Lindell Street, Martin, TN 38237 | 2006-04-21 |
| 1003870916 | James B Brooks | Pharmacist | 319 Lindell St, Martin, TN 38237 | 2006-04-17 |
| 1568430353 | Michael Gregg Swaim | Pharmacist | 319 S Lindell St, Martin, TN 38237-2440 | 2006-03-09 |
| Find all providers in MARTIN | ||||
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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.