Organization Active NPI

Michael H Butts

Doing business as Mikes Gibson Pharmacy

  • Community/Retail Pharmacy
  • Clarendon, TX
National Provider Identifier
1598890709
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10254 Issued in TX
Legal business name
MICHAEL H BUTTS
Doing business as
Mikes Gibson Pharmacy
Practice address
501 West 2ND Box 1030
Clarendon, TX 79226-1030
Phone
(806) 874-3554
Fax
(806) 874-9287
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Michael H Butts, RPHNPI 1598926628
Title
Owner
Phone
(806) 874-3554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10254 TX Primary
Long Term Care Pharmacy 3336L0003X 10254 TX

Addresses

Primary practice location

501 West 2ND Box 1030
Clarendon, TX 79226-1030

Mailing address

PO Box 1030
Clarendon, TX 79226-1030
Phone (806) 874-3554

Other identifiers 2

IdentifierTypeStateIssuer
4550554OtherNCPDP
142479MedicaidTX

Other names 1

  • MIKES GIBSON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1598890709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "CLARENDON",
            "state": "TX",
            "postal_code": "792261030",
            "telephone_number": "806-874-3554",
            "fax_number": "806-874-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WEST 2ND BOX 1030",
            "city": "CLARENDON",
            "state": "TX",
            "postal_code": "792261030",
            "telephone_number": "806-874-3554",
            "fax_number": "806-874-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H BUTTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-874-3554",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "10254",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "10254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4550554",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142479",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIKES GIBSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarendon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.