Coleman Butler Ft Smith, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

MG01760 Issued in AR

Legal business name

COLEMAN BUTLER FT SMITH, LLC

Practice address

3610 Grand Ave
Fort Smith, AR 72904-6842

Phone

(479) 783-5171

Fax

(479) 783-0433

NPI assigned

Oct 25, 2017

Organization subpart

Yes

Parent organization

COLEMAN BUTLER FT SMITH, LLCAs reported in NPPES

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

Authorized official

Name

Michael Butler, PHARMD

Title

Owner

Phone

(479) 783-5171

Specialties & licenses 3

Addresses

Other names 1

• Coleman Pharmacy & Medical Doing business as

Part of

Coleman Butler Ft Smith LLC

Locations

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629580147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 GRAND AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729046842",
            "telephone_number": "479-783-5171",
            "fax_number": "479-783-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 GRAND AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729046842",
            "telephone_number": "479-783-5171",
            "fax_number": "479-783-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN BUTLER FT SMITH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLEMAN BUTLER FT SMITH, LLC",
        "enumeration_date": "2017-10-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-783-5171",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AR",
            "license": "MG01760",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "MG01760",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AR",
            "license": "MG01760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coleman Pharmacy & Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda L Cole, AGACNP-BC
• Kelsey Ann Cole, DNP
• Michael S Cole, MD
• Coleman Butler Ft Smith LLC
• Coleman Butler Ft Smith LLC
• Christopher M Coleman, MD
• Jessica Coleman
• Michael D Coleman Sr., MD
• Ryan Brett Coleman, M.D.
• Zachary Evan Rufus Dettlaff Coleman, DDS

• Oxygen Equipment & Supplies (DME) in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Oxygen Equipment & Supplies (DME) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.