Butler Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

003510 Issued in MO

Legal business name

BUTLER PHARMACY INC

Doing business as

Butler Pharmacy

Practice address

11 S Orange St
Butler, MO 64730-1805

Phone

(660) 679-4175

Fax

(660) 679-6088

NPI assigned

May 23, 2005

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dave Childers

Title

President/Ceo/Owner

Phone

(660) 679-4175

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Butler Pharmacy Doing business as

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1326041336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S ORANGE ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301805",
            "telephone_number": "660-679-4175",
            "fax_number": "660-679-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S ORANGE ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301805",
            "telephone_number": "660-679-4175",
            "fax_number": "660-679-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT/CEO/OWNER",
        "authorized_official_telephone_number": "660-679-4175"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "003510",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2613467",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60074470",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100438870A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butler Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bristol Care, Inc.
• Emily Brucks, D.C.
• Rick Lynn Bryson, RPH
• John Phillip Bustle, MD
• Butler Operator LLC (Butler Rehab and Healthcare Center)
• Butler R-V School District
• Butler Senior Living, LLC (Maple Senior Living of Butler)
• Butler Urgent Medicine
• C.W. Long Enterprises, Inc.
• Sandra M Callahan, LPN

• Community/Retail Pharmacy in Butler, MO
• Providers in Butler, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.