MARTI LEA BURGESS (NPI# 1992235378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992235378 |
| Entity Type | Individual |
| Full Name | MARTI LEA BURGESS |
| Credential | RPH |
| Practice Address |
2570 Government Blvd Mobile AL 36606-1614 |
| Mailing Address |
322 N Ingleside St Fairhope AL 36532-2924 |
| Practice Telephone | 2515866481 |
| Practice Fax Number | 2515866482 |
| Mailing Telephone | 2516896551 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12450 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | STATE LICENSE | 12450 | 01 |
| Street Address |
2570 GOVERNMENT BLVD |
| City | MOBILE |
| State | AL |
| Zip Code | 36606-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730558123 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2570 Government Blvd, Mobile, AL 36606-1614 | 2015-09-16 |
| 1942831755 | Dennis Young Pil Choi | Pharmacist | 2570 Government Blvd, Mobile, AL 36606-1614 | 2020-01-30 |
| 1306375977 | Valerie Regaliza | Pharmacist | 2570 Government Blvd, Mobile, AL 36606-1614 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
| 1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
| 1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
| 1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
| 1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
| 1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
| 1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
| Find all providers in zip 36606 | ||||
| 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 |
|---|---|---|---|---|
| 1700483484 | Abigail Cooke | Pharmacist | 5636 Vista Bonita Dr N, Mobile, AL 36609-2522 | 2020-10-05 |
| 1659988566 | Joshua Manning | Pharmacist | 459 Dauphin St Apt B, Mobile, AL 36602-2413 | 2020-09-24 |
| 1134765795 | Andrew Price Howard IIi | Pharmacist | 7710 Clifton Way, Mobile, AL 36619-3654 | 2019-11-19 |
| 1669033478 | Rachel Walker | Pharmacist | 2889 Sollie Rd Apt 1012, Mobile, AL 36695-5553 | 2019-06-23 |
| 1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
| 1093223349 | Heide Ann Felber | Pharmacist | 2866 Dauphin St Ste H, Mobile, AL 36606-2482 | 2018-01-19 |
| 1881103661 | Brianne Pate | Pharmacist | 3715 Dauphin St Ste 1e, Mobile, AL 36608-1783 | 2017-09-25 |
| 1144767922 | Carl Richie | Pharmacist | 5751 Parkmont Cir S, Mobile, AL 36608-4348 | 2017-01-31 |
| 1528424520 | Richard Charles Fordham | Pharmacist | 3065 Dauphin St, Mobile, AL 36606-4040 | 2016-01-06 |
| 1245604230 | Kendra Cathleen Pierce | Pharmacist | 740 Schillinger Rd N, Mobile, AL 36608-5240 | 2015-11-14 |
| Find all providers in MOBILE | ||||
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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.