Individual provider Active NPI

Audrey Marie Butler, PHARM.D.

  • Pharmacist
  • Oklahoma City, OK
National Provider Identifier
1336496249
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15265 Issued in OK
Practice address
5400 N May Ave
T-0043
Oklahoma City, OK 73112-5407
Phone
(405) 945-8375
NPI assigned
Aug 9, 2012
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15265 OK Primary

Addresses

Primary practice location

5400 N May Ave
T-0043
Oklahoma City, OK 73112-5407

Mailing address

5400 N May Ave
T-0043
Oklahoma City, OK 73112-5407
Phone (405) 945-8375

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

LicenseStateTypeSpecialty
15265OKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1336496249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 N MAY AVE",
            "address_2": "T-0043",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125407",
            "telephone_number": "405-945-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N MAY AVE",
            "address_2": "T-0043",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125407",
            "telephone_number": "405-945-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "AUDREY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.