Healthcare Provider Details

I. General information

NPI: 1518992825
Provider Name (Legal Business Name): CHAD E BURKS PHARMD, MBA, MSMIT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2495 E NATIONAL HWY
WASHINGTON IN
47501-9594
US

IV. Provider business mailing address

1526 QUAIL RIDGE TRL
NEW ALBANY IN
47150-9657
US

V. Phone/Fax

Practice location:
  • Phone: 866-921-4047
  • Fax:
Mailing address:
  • Phone: 502-599-1021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number015672
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03444587
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26024277A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: