Individual provider Active NPI

Gayle Stephens Butler, PHARM.D.

  • Ambulatory Care Pharmacist
  • Chicago, IL
National Provider Identifier
1093391872
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
RPH49118 Issued in CA
Practice address
8430 W Bryn Mawr Ave Ste 1150
Chicago, IL 60631-3473
Phone
(800) 553-7359
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X RPH49118 CA Primary

Addresses

Primary practice location

8430 W Bryn Mawr Ave Ste 1150
Chicago, IL 60631-3473

Mailing address

8430 W Bryn Mawr Ave Ste 1150
Chicago, IL 60631-3473
Phone (800) 553-7359

Other practice location 1

257 S Fair Oaks Ave Ste 200
Pasadena, CA 91105-4124
Phone (800) 273-7384

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TBD

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

LicenseStateTypeSpecialty
RPH49118CAMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1093391872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 W BRYN MAWR AVE STE 1150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313473",
            "telephone_number": "800-553-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W BRYN MAWR AVE STE 1150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313473",
            "telephone_number": "800-553-7359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 S Fair Oaks Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911054124",
            "country_code": "US",
            "telephone_number": "800-273-7384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "GAYLE",
        "middle_name": "STEPHENS",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "RPH49118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TBD",
            "affiliation": "N",
            "endpointDescription": "in  process in developing endpoint for Covid vaccinations",
            "address_1": "8430 W Bryn Mawr Ave Ste 1150",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606313473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.