KELSIE BURNER


Address: 1818 Airport Plz, Decatur, IL 62521-9717
Phone: 2178645912

KELSIE BURNER (NPI# 1386280949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386280949
Entity Type Individual
Full Name KELSIE BURNER
Credential PHARM. D.
Practice Address 1818 Airport Plz
Decatur
IL 62521-9717
Practice Telephone 2178645912
Enumeration Date 2019-11-19
Last Update Date 2019-11-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051302385 IL Pharmacy Service Providers

Office Location

Street Address 1818 AIRPORT PLZ
City DECATUR
State IL
Zip Code 62521-9717

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NPI Name Taxonomy Address Enumeration
1053927988 Caleb David Braasch Pharmacist 1818 South Airport Rd, Decatur, IL 62521 2020-09-16
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1154848034 Zack Shaw Physical Therapist 4855-57 East 36, Decatur, IL 62521 2017-08-23
1790032852 Prashant Morolia Family Medicine 4775 E Maryland St, Decatur, IL 62521 2012-08-08
1003188913 Evergreen Place Decatur, LLC Assisted Living Facility 4825 E Evergreen Court, Decatur, IL 62521 2012-02-08
1104133099 Suzette Marie Shafer Occupational Therapy Assistant 1790 S. Fairview Ave., Decatur, IL 62521 2010-09-13
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811515927 Kristin Lynne Mcdonald Pharmacist 82 Deerfield Ln, Decatur, MS 39327-8977 2020-07-06
1629699699 Samantha Camille Ricks Pharmacist 2641 E College Ave Apt 736, Decatur, GA 30030-3380 2020-04-30
1447886056 Sawapha Verduci Pharmacist 1375 Thomas Rd, Decatur, GA 30030-4622 2020-03-14
1699319541 Thao Trinh Nguyen Pharmacist 1130 N Jamestown Rd Apt 305, Decatur, GA 30033-7118 2019-11-04
1770067506 Abdul Wahab Pharmacist 3517 Clubhouse Cir E Apt A, Decatur, GA 30032-2006 2018-09-18
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1639604408 Mahesh Patel Pharmacist 2579 Lawrenceville Hwy, Decatur, GA 30033-3206 2017-04-28
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1831568278 Omeka Clark Pharmacist 1670 Clairmont Road (119), Decatur, GA 30033 2015-09-16
1699175562 Kerop Gourdikian Pharmacist 585 Dekalb Industrail Way, Decatur, GA 30030-1774 2014-08-28
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Competitor

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City DECATUR
Zip Code 62521

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Dataset Information

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.

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