Active NPI
Jenise Solomons Butler
- Pharmacist
- Gleason, TN
National Provider Identifier
1063555811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8228
- Practice address
- 102 Main St
Gleason, TN 38229-7268 - Phone
- (731) 648-5146
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8228 | TN | Primary |
Addresses
Primary practice location
102 Main St
Gleason, TN 38229-7268
Mailing address
491 Sandhill Rd
Martin, TN 38237-8609
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gleason City Drug Store, LLC | Pharmacist | Past | Accepting new patients |
| A&a Apothecary LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063555811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 SANDHILL RD",
"city": "MARTIN",
"state": "TN",
"postal_code": "382378609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MAIN ST",
"city": "GLEASON",
"state": "TN",
"postal_code": "382297268",
"telephone_number": "731-648-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "JENISE",
"middle_name": "SOLOMONS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "8228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gleason, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.