MR. PHILLIP DANIEL O'BOURKE PHARM. D.
NPI 1164773446
Pharmacist in Gallup, NM

Active since September 26, 2012
516 E NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Phillip Daniel O'bourke Pharm. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PHILLIP DANIEL O'BOURKE PHARM. D. (NPI 1164773446) is an individual pharmacist in Gallup, New Mexico, licensed in Tennessee (0000036561) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1164773446
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. PHILLIP DANIEL O'BOURKECredential: PHARM. D.
Location Address516 E NIZHONI BLVDGallup, NM 87301-5748
Mailing Address500 Lacima RdGallup, NM 87301-5739 · (423) 957-1649
Sole ProprietorNo
Enumeration DateSeptember 26, 2012
NPI 1164773446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TN · 0000036561
Definition
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.
516 E NIZHONI BLVD, Gallup, NM 87301

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Medical-Surgical)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Emergency)
516 E NIZHONI BLVD
GALLUP, NM 87301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip O'bourke's NPI number?

The NPI number for Phillip O'bourke is 1164773446. It was assigned to this individual provider in the NPPES registry on September 26, 2012.

Where is Phillip O'bourke located?

Phillip O'bourke practices at 516 E Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Phillip O'bourke's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Phillip O'bourke was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.