{
"Npi": {
"NPI": "1114435583",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BURTS PHARMACY INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2333 BORCHARD RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEWBURY PARK",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91320-3206",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-498-6675",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2900 TOWNSGATE RD STE 105",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTLAKE VILLAGE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91361-5818",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-371-4000",
"PracticeLocationAddressFaxNumber": "805-374-4001",
"EnumerationDate": "01/18/2018",
"LastUpdateDate": "02/03/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEARK",
"AuthorizedOfficialFirstName": "ROBERT",
"AuthorizedOfficialMiddleName": "THOMAS",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "805-498-6675",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0003X",
"TaxonomyName": "Community/Retail Pharmacy",
"LicenseNumber": "55986",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}