DR. MAX EUGENE BURCHETT-ZUNIGA JR. (NPI# 1629477120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629477120 |
| Entity Type | Individual |
| Full Name | DR. MAX EUGENE BURCHETT-ZUNIGA JR. |
| Other Name | DR. MAX EUGENE BURCHETT JR. |
| Credential | PHARM.D. |
| Practice Address |
4913 W Reno Ave Oklahoma City OK 73127-6339 |
| Practice Telephone | 4059484900 |
| Practice Fax Number | 4059484929 |
| Mailing Telephone | 4059484900 |
| Mailing Fax Number | 4059484929 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2016-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15444 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OK PHARMACY LICENSE | 15444 | 01 |
| Street Address |
4913 W RENO AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73127-6339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874668 | Karen Suzanne Kyte | Physician Assistant | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2005-07-13 |
| 1164023297 | Brianne Carter | Dental Hygienist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-11-04 |
| 1396346854 | Annie Bejoy Thomas | Pharmacist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-11-02 |
| 1578160586 | Audrey Allen | Pharmacist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-10-02 |
| 1689290694 | Brandy Ponder | Nurse Practitioner | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-06-25 |
| 1295369247 | William Kelly Mckeever | Registered Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-02-28 |
| 1386278273 | Tamara K Clark | Community Health Worker | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-02-28 |
| 1144873449 | Justin Ozias Mclemore | Radiologic Technologist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2019-07-17 |
| 1578115846 | Angelina Marie Hill | Dentist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2019-07-16 |
| 1679132302 | Sharon Kay Marcotte | Peer Specialist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
| 1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
| 1952652836 | Kevin Kent Shelton Sr. | Behavioral Analyst | 2120 East Harlow Place, Oklahoma City, OK 73127 | 2012-10-02 |
| 1548537962 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 6620 Melrose Ln., Oklahoma City, OK 73127 | 2011-11-30 |
| 1326370065 | Karen Lou Gault | Counselor | 7201 N. W. 10th, Okc, OK 73127 | 2010-02-05 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 1306068432 | Emerald Square Assisted Living, LLC | Assisted Living Facility | 701 North Council Road, Oklahoma City, OK 73127 | 2007-05-02 |
| 1447377585 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 6101 West Reno, Suite 800, Oklahoma City, OK 73127 | 2007-03-23 |
| 1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
| 1447345178 | Tim Guinn | Pharmacist | 4911 N.w. 23rd Street, Oklahoma City, OK 73127 | 2006-10-04 |
| Find all providers in zip 73127 | ||||
| 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 |
|---|---|---|---|---|
| 1700345824 | Kermit Eugene Kay | Pharmacist | 5401 N Portland Ave Ste 250, Oklahoma City, OK 73112-2082 | 2019-03-18 |
| 1306446885 | Jesse Baker Adams | Pharmacist | 13503 S Santa Fe Ave, Oklahoma City, OK 73170-7314 | 2020-10-26 |
| 1407492622 | Sage Hendrickson | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2019-11-22 |
| 1811531619 | Julia Marina Chiappe | Pharmacist | 5915 W Memorial Rd Ste 300, Oklahoma City, OK 73142-2022 | 2019-11-05 |
| 1528620978 | Ian Sanders | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2019-07-06 |
| 1225593403 | Tammy Goldie Spears | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2019-02-01 |
| 1376916049 | Marjan P. Fardadfard | Pharmacist | 4149 Highline Blvd Ste 300, Oklahoma City, OK 73108-2097 | 2015-11-03 |
| 1205211182 | Lindsey Mews | Pharmacist | 3435 Nw 56th St, Suite 101, Oklahoma City, OK 73112-4448 | 2015-07-21 |
| 1861838286 | Crystal Marie Makes Cry | Pharmacist | 4149 Highline Blvd Ste 300, Oklahoma City, OK 73108-2097 | 2013-05-13 |
| 1871846741 | Nicole Avant | Pharmacist | 900 Ne 10th St, Oklahoma City, OK 73104-5420 | 2012-10-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73127 |
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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.