Active NPI
Mark Evan Butler, R.PH.
- Pharmacist
- Dayton, OH
National Provider Identifier
1639452345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03113531
- Practice address
- 4881 Sugar Maple Dr
Dayton, OH 45433-5529 - Phone
- (937) 257-9028
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 03113531 | OH | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
Dayton, OH 45433-5529
Mailing address
533 Calumet PL
Beavercreek, OH 45434-6287
Phone (937) 431-5233
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03113531 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1639452345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 CALUMET PL",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454346287",
"telephone_number": "937-431-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454335529",
"telephone_number": "937-257-9028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "MARK",
"middle_name": "EVAN",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03113531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.