Ashley Butt, PHARM D
Individual provider Active NPI Pharmacist · De Witt, IA
NPI 1154733426 · NPPES record last updated May 21, 2014
Key facts
- NPI
- 1154733426
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20787 (IA)
- Practice address
- 629 6TH Ave
De Witt, IA 52742-1635 - Phone
- (563) 659-5042
- Fax
- (563) 659-5044
- NPI assigned
- May 21, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20787 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20787 | IA | Yes |
Addresses
Primary practice location
629 6TH Ave
De Witt, IA 52742-1635
Mailing address
629 6TH Ave
De Witt, IA 52742-1635
Phone (563) 659-5042
Other providers in De Witt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.