BURKE CENTER (NPI# 1245894682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245894682 |
| Entity Type | Organization |
| Organization Name | BURKE CENTER |
| Practice Address |
1522 W Frank Ave Ste 109 Lufkin TX 75904-3334 |
| Mailing Address |
2704 Homer Alto Rd Lufkin TX 75904-8750 |
| Practice Telephone | 9366303700 |
| Practice Fax Number | 9366340110 |
| Mailing Telephone | 9366345664 |
| Mailing Fax Number | 9366345854 |
| Enumeration Date | 2019-04-30 |
| 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 | Y |
| Parent Organization Name | BURKE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| ETBHN INTEGRATED PHARMACY LUFKIN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1164518163 | Burke Center | Pharmacy | 2704 Homer Alto Rd, Lufkin, TX 75904-8750 | 2006-10-05 |
| 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 |
1522 W FRANK AVE STE 109 |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3334 |
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1720695471 | Lone Star Community Health Center, Inc. | Pharmacy | 227 State Highway 75 N Ste 130, Huntsville, TX 77320-3171 | 2020-09-28 |
| 1508428046 | Pharmacore Consulting Group | Pharmacy | 2440 Texas Pkwy Ste 380, Missouri City, TX 77489-4000 | 2019-07-05 |
| 1578053591 | Corpus Christi Urology Group, Pllc | Pharmacy | 601 Texan Trl Ste 100a, Corpus Christi, TX 78411-2548 | 2018-05-15 |
| 1174023493 | Pristinerx Consulting LLC | Pharmacy | 12046 Giddings Dr, Frisco, TX 75035-8874 | 2018-02-13 |
| 1649704396 | North Central Texas Community Health Care Center, Inc | Pharmacy | 1301 3rd St Ste 100, Wichita Falls, TX 76301-2245 | 2017-04-19 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1407394992 | Bsa Amarillo Diagnostic Clinic | Pharmacy | 6700 W 9th Ave Ste C, Amarillo, TX 79106-1729 | 2017-02-06 |
| 1659700540 | Familia Care Inc | Pharmacy | 10058 A. Long Point, Houston, TX 77055 | 2013-11-01 |
| 1376971499 | Planned Parenthood of Greater Texas | Pharmacy | 9100 N Central Expy # 169, Dallas, TX 75231-5922 | 2013-10-29 |
| 1245579143 | I.d. Doctors Pharmacy | Pharmacy | 1 Medical Pkwy Ste 210, Dallas, TX 75234-7863 | 2013-02-12 |
| 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.