Dennis Bourkov, PHARMD

Pharmacist · Jackson, CA

Individual Active NPI

NPI number 1699428417

Practice location

781 South Highway 49
Jackson, CA 95642
Phone
(209) 223-9670

Open in Google Maps

NPI record

NPI
1699428417
Entity type
Individual (Type 1)
Enumeration date
February 1, 2022
Last updated
February 1, 2022
Certified
January 22, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 85402 CA

Mailing address

15241 De La Cruz Dr
Rancho Murieta, CA 95683-9717
Phone
(915) 467-6559

About Dr. Bourkov

Dennis Bourkov, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 781 South Highway 49, Jackson, CA 95642. The NPI number 1699428417 was assigned on February 1, 2022 and the record was last updated on February 1, 2022.

Dr. Bourkov lists a license in the registry: #85402 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dennis Bourkov, PHARMD?

The NPI number is 1699428417.

What is the phone number of Dr. Bourkov?

The phone number listed for the practice location is (209) 223-9670.

Where is Dr. Bourkov located?

781 South Highway 49, Jackson, CA 95642.

What is the taxonomy code for Dr. Bourkov?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Jackson

All Pharmacist providers in Jackson, CA →