Active NPI
Butler Long Term Care Solutions
- Long Term Care Pharmacy
- Butler, GA
National Provider Identifier
1609327089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PHRE010310
- Legal business name
- BUTLER LONG TERM CARE SOLUTIONS
- Practice address
- 10 B North Poplar St
Butler, GA 31006 - Phone
- (478) 862-5655
- Fax
- (478) 862-2811
- NPI assigned
- Oct 20, 2016
- Last updated
- Oct 20, 2016
- 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
- Robert Johnny Bazemore, PHARM D
- Title
- RPH/Owner
- Phone
- (478) 862-5655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PHRE010310 | GA | Primary |
Addresses
Primary practice location
10 B North Poplar St
Butler, GA 31006
Mailing address
PO Box 546
Butler, GA 31006-0546
Phone (478) 862-5655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FLU372 | Other | GA | MEDICARE FLU SUBMITTER ID |
| 000793295A,B,C | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Smith's Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Butler, GA
- NPI 1144333915
Locations
10 N Poplar St
#B
Butler, GA 31006
Phone (478) 862-5655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476921600000",
"number": "1609327089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 546",
"city": "BUTLER",
"state": "GA",
"postal_code": "310060546",
"telephone_number": "478-862-5655",
"fax_number": "478-862-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 B NORTH POPLAR ST",
"city": "BUTLER",
"state": "GA",
"postal_code": "31006",
"telephone_number": "478-862-5655",
"fax_number": "478-862-2811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUTLER LONG TERM CARE SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A",
"authorized_official_last_name": "BAZEMORE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JOHNNY",
"authorized_official_title_or_position": "RPH/OWNER",
"authorized_official_telephone_number": "478-862-5655",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "GA",
"license": "PHRE010310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE FLU SUBMITTER ID",
"identifier": "FLU372",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000793295A,B,C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Butler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.