WILLIAM BURKE LTD (NPI# 1235323288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235323288 |
| Entity Type | Organization |
| Organization Name | WILLIAM BURKE LTD |
| Other Organization Name | MAIN COMPOUNDING PHARMACY |
| Practice Address |
129 W Locust St Davenport IA 52803 |
| Mailing Address |
2151 Kimberly Rd Bettendorf IA 52722-3628 |
| Practice Telephone | 5633241641 |
| Practice Fax Number | 5638844480 |
| Mailing Telephone | 5633241641 |
| Mailing Fax Number | 5638844480 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |
| Authorized Official Name | DR. LISA CLARE PLOEHN (PHARMACIST/OWNER) |
| Authorized Official Telephone | 5633241641 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
1325 | IA | Suppliers |
| Other Name | Type Code |
|---|---|
| MAIN COMPOUNDING PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518296920 | William Burke Ltd | Pharmacy | 655 Liberty Way Ste 3and4, North Liberty, IA 52317-9154 | 2009-12-14 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| 1699832451 | William Burke Ltd | Pharmacy | 2151 Kimberly Rd, Bettendorf, IA 52722-3628 | 2007-01-02 |
| 1851620066 | William Burke Ltd | Pharmacy | 129 W Locust St, Davenport, IA 52803-2803 | 2009-12-17 |
| Street Address |
129 W LOCUST ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280866 | Kara M Carruthers | Pharmacist | 129 W Locust St, Davenport, IA 52803-2803 | 2005-07-29 |
| 1912292863 | Kathleen Chandler Miller | Pharmacist | 129 W Locust St, Davenport, IA 52803-2803 | 2011-06-17 |
| 1871805762 | Allison R Strobel | Pharmacist | 129 W Locust St, Davenport, IA 52803-2803 | 2010-07-08 |
| 1851620066 | William Burke Ltd | Pharmacy | 129 W Locust St, Davenport, IA 52803-2803 | 2009-12-17 |
| 1487627659 | Kaye Lynn Wright | Pharmacist | 129 W Locust St, Davenport, IA 52803-2803 | 2006-02-08 |
| 1598756694 | Lisa Dawn Garner | Pharmacist | 129 W Locust St, Davenport, IA 52803-2803 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962809475 | Medoz Pharmacy of Polk Inc | Pharmacy | 40230 Us Highway 27, #100-110, Davenport, FL 33837 | 2014-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700144128 | Grx Holdings, LLC | Pharmacy | 12871 University Ave Ste 130, Clive, IA 50325-8256 | 2012-04-24 |
| 1194855569 | Central Iowa Compounding | Pharmacy | 3290 100th St, Urbandale, IA 50322-3879 | 2007-03-06 |
| 1508919416 | Rxpert Inc | Pharmacy | 102 S Story St, Boone, IA 50036 | 2007-01-22 |
| 1912068644 | Far Bil Inc | Pharmacy | 1727 S B Ave, Nevada, IA 50201-2804 | 2006-12-13 |
| 1114002284 | Professional Compounding Center of Iowa, Inc. | Pharmacy | 2104 Kimball Ave., Suite A, Waterloo, IA 50702-5037 | 2006-10-26 |
| 1124000328 | Elk Horn Pharmacy Inc | Pharmacy | 4022 Main St, Elk Horn, IA 51531-2102 | 2005-11-15 |
| 1457902314 | Wayne County Hospital | Pharmacy | 510 E Jefferson St Ste A, Corydon, IA 50060-1812 | 2019-09-23 |
| 1932599404 | Pella Regional Health Center | Pharmacy | 802 Washington St, Pella, IA 50219-1525 | 2015-02-04 |
| 1639588262 | Siouxland Compounding Pharmacy, LLC | Pharmacy | 4501 Southern Hills Dr, Suite 3, Sioux City, IA 51106-4769 | 2014-08-07 |
| 1427332295 | Ryka Incorporated | Pharmacy | 112 10th St Sw, Suite A, Waverly, IA 50677-2924 | 2011-09-28 |
| 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.