Elizaveta Sergeyevna Burnham, PharmD
Pharmacist in Hollister, CA. Individual provider (NPI-1).
NPI number1932634441
StatusActive
Last updated in NPPESJun 24, 2023
Details
- NPI
- 1932634441
- Entity type
- Individual (NPI-1)
- Name
- Elizaveta Sergeyevna Burnham
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2017
- Certification date
- Jun 24, 2023
- Last updated
- Jun 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 70997 | CA | Yes |
Practice location
1701 Airline HwyHollister, CA 95023-5791
Phone 831-636-1692 · Fax 831-636-3889
Mailing address
1701 Airline HwyHollister, CA 95023-5791
Phone 831-636-1692 · Fax 831-636-3889
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Pharmacist providers in Hollister · All 737 providers in Hollister
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