Richard Butler

Primary specialty

PharmacistTaxonomy code 183500000X

License

043888 Issued in MO

Practice address

13655 N State Highway 5
Sunrise Beach, MO 65079-7449

Phone

(573) 372-8305

Fax

(573) 372-8308

NPI assigned

Jan 20, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evans Drugs Sunrise Beach LLC

  • Community/Retail Pharmacy
  • Sunrise Beach, MO
  • NPI 1477999555
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1053063172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13655 N STATE HIGHWAY 5",
            "city": "SUNRISE BEACH",
            "state": "MO",
            "postal_code": "650797449",
            "telephone_number": "573-372-8305",
            "fax_number": "573-372-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 N STATE HIGHWAY 5",
            "city": "SUNRISE BEACH",
            "state": "MO",
            "postal_code": "650797449",
            "telephone_number": "573-372-8305",
            "fax_number": "573-372-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "043888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sunrisebeach@evans-drug.com",
            "affiliation": "N",
            "endpointDescription": "pharmacy email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13655 N State Highway 5",
            "city": "Sunrise Beach",
            "state": "MO",
            "country_code": "US",
            "postal_code": "650797449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Ann Allen, L.C.S.W.
• Cammo Ambulance District
• Wendy Castle
• Evans Drugs Sunrise Beach LLC
• Healing Connections Counseling Center, LLC
• Michael P Henry, D.O.

• Pharmacist in Sunrise Beach, MO
• Providers in Sunrise Beach, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.