Active NPI
Johnny Butts, PHARM.D.
- Pharmacist
- Austin, MN
National Provider Identifier
1174922579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121952
- Practice address
- 1420 W Oakland Ave
Austin, MN 55912-1652 - Phone
- (507) 396-0197
- Fax
- (507) 396-0201
- NPI assigned
- Aug 21, 2014
- Last updated
- Aug 21, 2014
- 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 | 121952 | MN | Primary |
Addresses
Primary practice location
1420 W Oakland Ave
Austin, MN 55912-1652
Mailing address
1420 W Oakland Ave
Austin, MN 55912-1652
Phone (507) 396-0197
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 |
|---|---|---|---|
| 121952 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1174922579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 W OAKLAND AVE",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559121652",
"telephone_number": "507-396-0197",
"fax_number": "507-396-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 W OAKLAND AVE",
"city": "AUSTIN",
"state": "MN",
"postal_code": "559121652",
"telephone_number": "507-396-0197",
"fax_number": "507-396-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTS",
"first_name": "JOHNNY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.