Active NPI
Michael H Butts
Doing business as Mikes Gibson Pharmacy
- Community/Retail Pharmacy
- Clarendon, TX
National Provider Identifier
1598890709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10254
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael H Butts, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4550554 | Other | NCPDP | |
| 142479 | Medicaid | TX |
Other names 1
- MIKES GIBSON PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Clarendon, TX
- NPI 1598926628
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
- John Cooper Howard, M.D.
- Hwatch of the TX Panhandle, LLC (RoadRunner HomeCare)
- Land Pharmacy LLC (Mike's Pharmacy)
- Marvin Gill & Assoc (Med Link Services)
- Marvin Gill & Associates Inc. (Med Link Services)
- Michael Morency
- Misty Nobles, PA-C
- M Brandon Phipps, PA-C
- Devah Nikole Pittman, PA-C
- Richard Alva Sheppard, DDS
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.