Active NPI
Anita Butler, CPHT
- Pharmacy Technician
- Dearborn, MI
National Provider Identifier
1194502013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303007152
- Practice address
- 15401 N Commerce Dr
Dearborn, MI 48120-1208 - Phone
- (248) 508-4199
- NPI assigned
- Sep 13, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303007152 | MI | Primary |
Addresses
Primary practice location
15401 N Commerce Dr
Dearborn, MI 48120-1208
Mailing address
15401 N Commerce Dr
Dearborn, MI 48120-1208
Phone (248) 508-4199
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5303007152 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1194502013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15401 N COMMERCE DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201208",
"telephone_number": "248-508-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15401 N COMMERCE DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201208",
"telephone_number": "248-508-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "ANITA",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303007152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.