Jordan Michel Butler, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302414662 Issued in MI

Practice address

4425 Division Ave S
Wyoming, MI 49548-4304

Phone

(616) 531-9494

NPI assigned

Sep 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Wyoming, MI
  • NPI 1447265558
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1194447375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 BURTON RIDGE RD SE APT J",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467617",
            "telephone_number": "269-217-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 DIVISION AVE S",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495484304",
            "telephone_number": "616-531-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JORDAN",
        "middle_name": "MICHEL",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Burton, DO, DPT
• Bethany Busack
• Sherrill D Busboom, PA
• Cammy Lynn Bushong, MS, LPC, CAADC, CCTP
• April Marie Butler, DNP, RN, AGPCNP-BC
• Andrew Butlevics, RPH
• Emily Byl, OTR/L
• Julie Lynn Bylsma, RN
• Byron Center Family Dental PLLC
• Daniel Alejandro Cabrera, D.D.S.

• Pharmacist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.