Active NPI
Jasmine Renee Butler
- Pharmacist
- Randleman, NC
National Provider Identifier
1346883576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29197
- Practice address
- 1021 High Point St
Randleman, NC 27317-7192 - Phone
- (336) 495-6278
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 42158 | SC | |
| Pharmacist | 183500000X | 29197 | NC | Primary |
Addresses
Primary practice location
1021 High Point St
Randleman, NC 27317-7192
Mailing address
302 N Eugene St Apt 317
Greensboro, NC 27401-4093
Phone (843) 834-6066
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29197 | NC | MD | Pharmacist |
| 42158 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1346883576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N EUGENE ST APT 317",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274014093",
"telephone_number": "843-834-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 HIGH POINT ST",
"city": "RANDLEMAN",
"state": "NC",
"postal_code": "273177192",
"telephone_number": "336-495-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "JASMINE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42158",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randleman, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.