Individual provider Active NPI

Erica Butler, PHARM.D, RPH

  • Pharmacist
  • Bernalillo, NM
National Provider Identifier
1174941215
Registry record updated Apr 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP00007290 Issued in NM
Practice address
460 Highway 528
Bernalillo, NM 87004-6633
Phone
(505) 771-4877
Fax
(505) 771-4878
NPI assigned
Apr 5, 2014
Last updated
Apr 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00007290 NM Primary

Addresses

Primary practice location

460 Highway 528
Bernalillo, NM 87004-6633

Mailing address

460 Highway 528
Bernalillo, NM 87004-6633
Phone (505) 771-4877

Other names 1

  • Erica Baca Former name

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP00007290NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396656000000",
    "number": "1174941215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 HIGHWAY 528",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046633",
            "telephone_number": "505-771-4877",
            "fax_number": "505-771-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 HIGHWAY 528",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046633",
            "telephone_number": "505-771-4877",
            "fax_number": "505-771-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-05",
        "last_updated": "2014-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00007290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BACA",
            "credential": "PHARM.D, RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bernalillo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.