Active NPI
David Allan Butler, PHARMD
- Pharmacist
- Chicago, IL
National Provider Identifier
1326540915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051300659
- Practice address
- 833 S Wood St
Room 164 (MC 886)
Chicago, IL 60605 - Phone
- (312) 413-1422
- Fax
- (312) 996-0379
- NPI assigned
- Feb 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH60665385 | WA | |
| Pharmacist | 183500000X | 051300659 | IL | Primary |
Addresses
Primary practice location
833 S Wood St
Room 164 (MC 886)
Chicago, IL 60605
Mailing address
833 S Wood St
Room 164 (MC 886)
Chicago, IL 60605
Phone (312) 413-1422
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051300659 | IL | MD | Pharmacist |
| PH60665385 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1326540915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 S WOOD ST",
"address_2": "ROOM 164 (MC 886)",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60605",
"telephone_number": "312-413-1422",
"fax_number": "312-996-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 S WOOD ST",
"address_2": "ROOM 164 (MC 886)",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60605",
"telephone_number": "312-413-1422",
"fax_number": "312-996-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "DAVID",
"middle_name": "ALLAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60665385",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "IL",
"license": "051300659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.