Active NPI
Vicky Lynne Butler, RPH
- Pharmacist
- Mooresville, NC
National Provider Identifier
1255639753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13391
- Practice address
- 274 N Main St
Mooresville, NC 28115-2528 - Phone
- (704) 664-3122
- Fax
- (704) 664-5596
- NPI assigned
- Mar 8, 2011
- Last updated
- Mar 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 13391 | NC | Primary |
Addresses
Primary practice location
274 N Main St
Mooresville, NC 28115-2528
Mailing address
274 N Main St
Mooresville, NC 28115-2528
Phone (704) 664-3122
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13391 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299542400000",
"number": "1255639753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 N MAIN ST",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281152528",
"telephone_number": "704-664-3122",
"fax_number": "704-664-5596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "274 N MAIN ST",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281152528",
"telephone_number": "704-664-3122",
"fax_number": "704-664-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "VICKY",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.