Active NPI
Herbert Wayne Butterbaugh, PHARM D.
- Pharmacist
- Portsmouth, OH
National Provider Identifier
1093230484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH.03237348-2
- Practice address
- 1805 27TH St
Portsmouth, OH 45662-2640 - Phone
- (740) 356-6853
- NPI assigned
- Aug 7, 2017
- Sex
- Male
- Sole proprietor
- No
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 | RPH.03237348-2 | OH | Primary |
Addresses
Primary practice location
1805 27TH St
Portsmouth, OH 45662-2640
Mailing address
1755 Kevin St
Ironton, OH 45638-1115
Phone (740) 442-1432
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH.03237348-2 | Other | OH | OHIO PHARMACIST LICENSE |
| 019586 | Other | KY | KENTUCKY PHARMACIST LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH.03237348-2 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1093230484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 KEVIN ST",
"city": "IRONTON",
"state": "OH",
"postal_code": "456381115",
"telephone_number": "740-442-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 27TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622640",
"telephone_number": "740-356-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTERBAUGH",
"first_name": "HERBERT",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "RPH.03237348-2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO PHARMACIST LICENSE",
"identifier": "RPH.03237348-2",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY PHARMACIST LICENSE",
"identifier": "019586",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.