Federal Med Center - Butner

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

Legal business name

FEDERAL MED CENTER - BUTNER

Doing business as

Federal Med Center - Butner

Practice address

Old NC 75
Butner, NC 27509

Phone

(919) 575-3900

Fax

(919) 575-4837

NPI assigned

Nov 10, 2011

Last updated

Nov 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Bryan

Title

Chief Pharmacist

Phone

(919) 575-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Federal Med Center - Butner Doing business as

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1639456262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OLD NC 75",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "27509",
            "telephone_number": "919-575-3900",
            "fax_number": "919-575-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLD NC 75",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "27509",
            "telephone_number": "919-575-3900",
            "fax_number": "919-575-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL MED CENTER - BUTNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "919-575-3900"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3459395",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federal Med Center - Butner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Eskenazi, MD, PHD
• Shauna T'Vedt Ettson, P-LCSW
• Chauna Brooks Everett, PA-C
• David Facer, PLCSW
• Federal Bureau of Prisons
• Nancy Hayes Ferguson, LCSW
• Shereen Ferri, LCSW
• Jacklyn Finocchio
• Kelly Johnson Fleming, PHARMD
• Antonisha Floyd, LCSWA

• Institutional Pharmacy in Butner, NC
• Providers in Butner, NC by specialty
• Institutional Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.