Organization Active NPI

Butler Drug Store Inc

  • Pharmacy
  • Portageville, MO
National Provider Identifier
1194724880
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BUTLER DRUG STORE INC
Practice address
222 E Main St
Portageville, MO 63873-1614
Phone
(573) 379-5469
Fax
(573) 379-5459
NPI assigned
Jul 15, 2005
Organization subpart
Yes
Parent organization
BUTLER DRUG STORE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Dr. Donald Rone III, PHARMD
Title
Owner
Phone
(573) 379-5469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

222 E Main St
Portageville, MO 63873-1614

Mailing address

222 E Main St
Portageville, MO 63873-1614
Phone (573) 379-5469

Other identifiers 1

IdentifierTypeStateIssuer
600201404MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Butler Drugstore Inc2 organizations share this tax ID, including this one
Part of
Butler Drugstore Inc

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1194724880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638731614",
            "telephone_number": "573-379-5469",
            "fax_number": "573-379-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MAIN ST",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638731614",
            "telephone_number": "573-379-5469",
            "fax_number": "573-379-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER DRUG STORE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUTLER DRUG STORE INC",
        "enumeration_date": "2005-07-15",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "RONE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-379-5469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600201404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portageville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.