DR. BRYCE R BURKHART (NPI# 1396362943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396362943 |
| Entity Type | Individual |
| Full Name | DR. BRYCE R BURKHART |
| Credential | PHARM.D. |
| Practice Address |
5165 Mccarty Ln Lafayette IN 47905-8764 |
| Practice Telephone | 3177194815 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26028772A | IN | Pharmacy Service Providers |
| Street Address |
5165 MCCARTY LN |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-8764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861447211 | Lafayette Emergency Care, P.C. | Emergency Medicine | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2006-05-24 |
| 1144827650 | Emily Ann Burkhalter | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-10-07 |
| 1053918987 | Amy Elizabeth Manahan | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-10-04 |
| 1568075513 | James Michael Roush | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-08-28 |
| 1497365217 | Ryan Haas | Physician Assistant | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-08-06 |
| 1972120145 | Jocelyn Tao | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-07-02 |
| 1184259566 | Amy E Zumwalt | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-03-06 |
| 1497380067 | Skyler Williams | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-03-04 |
| 1578198230 | Ashley Scheil | Registered Nurse | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-03-03 |
| 1508497264 | Deoanna Gorrell | Nurse Practitioner | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2020-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1699078394 | Cordese Shaw Jolivette | Pharmacist | 3414 Moss St Ste C, Lafayette, LA 70507-6107 | 2010-12-19 |
| 1245849611 | Veronica Disher | Pharmacist | 2200 Greenbush St, Lafayette, IN 47904-2342 | 2020-07-30 |
| 1306483169 | Jessica Heathcote | Pharmacist | 65 Beck Ln, Lafayette, IN 47909-2836 | 2019-11-28 |
| 1225509292 | Jarred Bowden | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-12-16 |
| 1598230351 | Christopher Farmer | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2018-10-09 |
| 1194129197 | Jennifer Slavens | Pharmacist | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2014-10-20 |
| 1114356318 | Blair Elaine Maxwell | Pharmacist | 1501 Hartford St, Lafayette, IN 47904-2134 | 2013-11-07 |
| 1922238955 | Paul Shaw | Pharmacist | 280 Exempla Cir, Rock Creek Medical Offices - Kpco Dept of Pharmacy, Lafayette, CO 80026-3370 | 2009-07-24 |
| 1215192711 | Robert Matthew Trujillo | Pharmacist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2008-07-23 |
| Find all providers in LAFAYETTE | ||||
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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.