Active NPI
Jodi R Butler, PHARM D
- Pharmacotherapy Pharmacist
- Mahomet, IL
National Provider Identifier
1417174145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- Practice address
- 1001 Heather Dr
Mahomet, IL 61853-2754 - Phone
- (217) 586-8473
- Fax
- (217) 586-8475
- NPI assigned
- Apr 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | IL | Primary |
Addresses
Primary practice location
1001 Heather Dr
Mahomet, IL 61853-2754
Mailing address
605 S Jeffery Dr
Mahomet, IL 61853-2734
Phone (217) 531-9416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371119538020 | Medicaid | IL |
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 |
|---|---|---|---|
| 051286736 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417174145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S JEFFERY DR",
"city": "MAHOMET",
"state": "IL",
"postal_code": "618532734",
"telephone_number": "217-531-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HEATHER DR",
"city": "MAHOMET",
"state": "IL",
"postal_code": "618532754",
"telephone_number": "217-586-8473",
"fax_number": "217-586-8475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "JODI",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371119538020",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mahomet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.