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BURKE COMMUNITY PHARMACY INC. NPI 1023340767


NPI Information

NPI: 1023340767
Provider Name: BURKE COMMUNITY PHARMACY INC.

Doing Business As: MISSION COMMUNITY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 43D0681956

Address:
161 S. MAIN STREET
MISSION, SD
ZIP 57555
Phone: (605) 856-2120
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BURKE COMMUNITY PHARMACY INC. is a community/retail pharmacy pharmacy in Mission, SD. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BURKE COMMUNITY PHARMACY INC. NPI is 1023340767. The provider is registered as an organization entity type.
The provider Is Doing Business As Mission Community Pharmacy.

The provider's business location address is:

161 S. MAIN STREET
MISSION, SD
ZIP 57555
Phone: (605) 856-2120

The provider's authorized official is Renee Sutton .
The authorized official title is Pharmacist In Charge and has the following contact phone number (605) 775-2294.

The CLIA number assigned to this NPI record is 43D0681956 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/5/2010 and was last updated on 3/31/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy100-1955SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18504680MEDICAIDSOUTH DAKOTA
22130260OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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