Active NPI
Kristy Love Buteyn, PHARMD
- Pharmacist
- Waupun, WI
National Provider Identifier
1548501794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16389-40
- Practice address
- 904 W Main St
Waupun, WI 53963-1201 - Phone
- (920) 324-3010
- NPI assigned
- Mar 13, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16389-40 | WI | Primary |
Addresses
Primary practice location
904 W Main St
Waupun, WI 53963-1201
Mailing address
610 Rock River Ave
Waupun, WI 53963-1307
Phone (920) 517-3810
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 |
|---|---|---|---|
| 16389-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1548501794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 ROCK RIVER AVE",
"city": "WAUPUN",
"state": "WI",
"postal_code": "539631307",
"telephone_number": "920-517-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 W MAIN ST",
"city": "WAUPUN",
"state": "WI",
"postal_code": "539631201",
"telephone_number": "920-324-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTEYN",
"first_name": "KRISTY",
"middle_name": "LOVE",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-13",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16389-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waupun, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.