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BURGUNDIE BULLOCK PHARMD
NPI 1528877594
Pharmacist in Idaho Falls, ID

Active since January 04, 2025
2252 CORONADO ST, IDAHO FALLS, ID 83404(208) 523-3360 Get Directions Write a Review

NPPES record last updated: January 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Burgundie Bullock Pharmd NPPES

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

BURGUNDIE BULLOCK PHARMD (NPI 1528877594) is an individual pharmacist in Idaho Falls, Idaho, licensed in Idaho (I75864) and active in the NPI registry since January 2025. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528877594
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameBURGUNDIE BULLOCKCredential: PHARMD
Location Address2252 CORONADO STIdaho Falls, ID 83404-7552
Mailing Address456 Sunflower RdRexburg, ID 83440-4921 · (208) 220-8231
Phone(208) 523-3360
Sole ProprietorNo
Enumeration DateJanuary 4, 2025
NPPES CertifiedJanuary 4, 2025
✔ NPI 1528877594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · I75864
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.
2252 CORONADO ST, Idaho Falls, ID 83404
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Secondary Practice Locations 2

Location 1456 Sunflower RdRexburg, ID 83440-4921 · Phone (208) 220-8231
Location 22325 Coronado StIdaho Falls, ID 83404-7407 · Phone (208) 557-2738

Other Providers at the Same Location NPPES 4

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

PRESCRIPTION CENTER, LLC
Pharmacy (Community/Retail Pharmacy)
2252 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3360
RENA CAMPBELL PHARMD
Pharmacist
2252 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3360
PRESCRIPTION CENTER, LLC
Pharmacy (Specialty Pharmacy)
2252 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3360
DR. ROBERT ALLEN MYERS PH.D., R.PH.
Pharmacist
2252 CORONADO ST
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3360

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 Burgundie Bullock's NPI number?

The NPI number for Burgundie Bullock is 1528877594. It was assigned to this individual provider in the NPPES registry on January 4, 2025.

Where is Burgundie Bullock located?

Burgundie Bullock practices at 2252 Coronado St, Idaho Falls, ID 83404. The listed phone number is (208) 523-3360.

What is Burgundie Bullock'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 Burgundie Bullock was last updated on January 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.