Organization Active NPI

Allergy Butler, LLC

  • Clinic Pharmacy
  • Nampa, ID
National Provider Identifier
1164035689
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
ALLERGY BUTLER, LLC
Practice address
1611 12TH Ave Rd Ste a
Nampa, ID 83686-6182
Phone
(844) 426-9843
NPI assigned
Aug 25, 2020
Organization subpart
Yes
Parent organization
ALLERGY BUTLER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Edward Loomis
Title
Ceo
Phone
(844) 426-9843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

1611 12TH Ave Rd Ste a
Nampa, ID 83686-6182

Mailing address

10701 S Ozarks Dr
South Jordan, UT 84009-5693
Phone (801) 652-7666

National Provider Directory

National Provider Directory
Tax ID family
Allergy Butler LLC2 organizations share this tax ID, including this one
Part of
Allergy Butler LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1164035689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 S OZARKS DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095693",
            "telephone_number": "801-652-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 12TH AVE RD STE A",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866182",
            "telephone_number": "844-426-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY BUTLER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLERGY BUTLER, LLC",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-426-9843"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.