Healthcare Provider Details

I. General information

NPI: 1093432650
Provider Name (Legal Business Name): JENNIFER MARIE BURRIER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 READE PL
POUGHKEEPSIE NY
12601-3947
US

IV. Provider business mailing address

45 READE PL
POUGHKEEPSIE NY
12601-3947
US

V. Phone/Fax

Practice location:
  • Phone: 845-454-8500
  • Fax:
Mailing address:
  • Phone: 845-454-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHRM.PH.61453568
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0117629
License Number StateVT
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number070475-01
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHCY-05712
License Number StateNH
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72337
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number10893
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: