Active NPI
Kam Marie Butler, RPH
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1114274123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- C4613014
- Practice address
- 2405 Wingate CT
Bakersfield, CA 93311-9267 - Phone
- (661) 664-7912
- NPI assigned
- Aug 8, 2012
- 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 | C4613014 | CA | Primary |
Addresses
Primary practice location
2405 Wingate CT
Bakersfield, CA 93311-9267
Mailing address
2405 Wingate CT
Bakersfield, CA 93311-9267
Phone (661) 664-7912
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4613014 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1114274123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 WINGATE CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119267",
"telephone_number": "661-664-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 WINGATE CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119267",
"telephone_number": "661-664-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "KAM",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "C4613014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.