Audrey Butler, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

052.302952 Issued in IL

Practice address

311 N Western Ave
Peoria, IL 61604-5638

Phone

(309) 676-6333

Fax

(309) 676-1928

NPI assigned

Mar 25, 2020

Last updated

Mar 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Pharmacy of Il Inc

  • Long Term Care Pharmacy
  • Peoria, IL
  • NPI 1962239186
  NPD
• American Pharmacy of Il Inc

  dba Alwan Pharmacy

  • Pharmacy
  • West Peoria, IL
  • NPI 1871546432
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1336776756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N WESTERN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616045638",
            "telephone_number": "309-676-6333",
            "fax_number": "309-676-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N WESTERN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616045638",
            "telephone_number": "309-676-6333",
            "fax_number": "309-676-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "052.302952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lang Bushby, MOT, OTR/L
• Lori Bushell, LCPC
• Kayla Marie Buskirk
• Sheri K Buskirk, RN
• Karen M Bussone, ACNP
• Caroline F Butler, MS, CCC-SLP
• Courtney Butler, MSW, LCSW
• Meghan Christine Butts, APRN
• Darshika Sai Buvanendaran, MD
• Rebecca Jane Byler Dann, M.D., M.P.H.

• Pharmacist in Peoria, IL
• Providers in Peoria, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.