Individual provider Active NPI

Rebecca Nicole Butler, BS PHARM

  • Pharmacist
  • Pineville, NC
National Provider Identifier
1053565226
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18173 Issued in NC
Practice address
11425 Carolina Place Pkwy
Sam's Club
Pineville, NC 28134-8816
Phone
(704) 541-0216
NPI assigned
Nov 13, 2008
Last updated
Nov 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-1-20847 OH
Pharmacist 183500000X PS 31037 FL
Pharmacist 183500000X 18173 NC Primary

Addresses

Primary practice location

11425 Carolina Place Pkwy
Sam's Club
Pineville, NC 28134-8816

Mailing address

11425 Carolina Place Pkwy
Sam's Club
Pineville, NC 28134-8816
Phone (704) 541-0216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS 31037FLMDPharmacist
18173NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1053565226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 CAROLINA PLACE PKWY",
            "address_2": "SAM'S CLUB",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348816",
            "telephone_number": "704-541-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 CAROLINA PLACE PKWY",
            "address_2": "SAM'S CLUB",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348816",
            "telephone_number": "704-541-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "REBECCA",
        "middle_name": "NICOLE",
        "credential": "BS PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-20847",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 31037",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.