DR. JASON BURGHDUF (NPI# 1801288295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801288295 |
| Entity Type | Individual |
| Full Name | DR. JASON BURGHDUF |
| Credential | PHARMD |
| Practice Address |
1351 N Ironwood Dr South Bend IN 46615-3566 |
| Practice Telephone | 5742345046 |
| Mailing Telephone | 5742345046 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26024987A | IN | Pharmacy Service Providers |
| Street Address |
1351 N IRONWOOD DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-3566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255435640 | Walgreen Co | Pharmacy | 1351 N Ironwood Dr, South Bend, IN 46615-3566 | 2006-09-07 |
| 1184907321 | Melissa Anne Hurst | Pharmacist | 1351 N Ironwood Dr, South Bend, IN 46615-3566 | 2011-09-23 |
| 1265715569 | Marissa O'hayer | Pharmacist | 1351 N Ironwood Dr, South Bend, IN 46615-3566 | 2011-09-22 |
| 1295017069 | Scott Spite | Pharmacist | 1351 N Ironwood Dr, South Bend, IN 46615-3566 | 2011-09-16 |
| 1972885747 | Elizabeth Nicole Bowman | Pharmacist | 1351 N Ironwood Dr, South Bend, IN 46615-3566 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| 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 |
|---|---|---|---|---|
| 1255945705 | Richard B Pearson | Pharmacist | 2913 S Michigan St, South Bend, IN 46614-1033 | 2020-09-02 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1053899617 | Korilyn Hauersperger | Pharmacist | 22370 Ice Trl, South Bend, IN 46614-4401 | 2018-08-05 |
| 1386159622 | Dusti Ann Yost | Pharmacist | 707 N Michigan St Ste 114, South Bend, IN 46601-1068 | 2017-12-08 |
| 1851715155 | Rachel Cundiff | Pharmacist | 52482 Sr 933 N, South Bend, IN 46637 | 2014-02-07 |
| 1104251479 | Tao Bai | Pharmacist | 52482 State Rd 933, South Bend, IN 46637 | 2013-09-05 |
| 1285989079 | Craig Merrick | Pharmacist | 901 E Donald St, South Bend, IN 46613-2920 | 2012-07-17 |
| 1396021218 | Jada Rashon Bush | Pharmacist | 201 S William St Ste 202, South Bend, IN 46601-2515 | 2011-10-24 |
| 1609151596 | Monica Lynn Parkhurst | Pharmacist | 54590 Ironwood Rd, South Bend, IN 46635-1617 | 2011-10-11 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
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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.