Megan Butler
Individual provider Active NPI Pharmacist · Melbourne, FL
NPI 1003218488 · NPPES record last updated Sep 17, 2014
Key facts
- NPI
- 1003218488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS51960 (FL)
- Practice address
- 2261 W New Haven Ave
Melbourne, FL 32904-3805 - Phone
- (321) 676-0173
- NPI assigned
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS51960 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS51960 | FL | Yes |
Addresses
Primary practice location
2261 W New Haven Ave
Melbourne, FL 32904-3805
Mailing address
245 Lago Cir
Apt 302
Melbourne, FL 32904-3369
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.