Active NPI
Terri L Butkovich
- Pharmacist
- Greeley, CO
National Provider Identifier
1215211347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11446
- Practice address
- 3700 W 10TH St
Greeley, CO 80634-1819 - Phone
- (970) 475-0192
- NPI assigned
- Oct 7, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11446 | CO | Primary |
Addresses
Primary practice location
3700 W 10TH St
Greeley, CO 80634-1819
Mailing address
4536 N County Road 13
Fort Collins, CO 80524-9447
Phone (970) 221-1771
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 |
|---|---|---|---|
| 11446 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1215211347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4536 N COUNTY ROAD 13",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805249447",
"telephone_number": "970-221-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 W 10TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806341819",
"telephone_number": "970-475-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTKOVICH",
"first_name": "TERRI",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "11446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.