Clinton Butler, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR12116 Issued in AR

Legal business name

CLINTON BUTLER, LLC

Doing business as

Clinton Drug

Practice address

2526 Highway 65 S
Clinton, AR 72031

Phone

(501) 745-8414

Fax

(501) 745-8282

NPI assigned

Apr 18, 2006

Last updated

Aug 2, 2018By 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

Todd Beagle

Title

Operations Manager

Phone

(309) 642-2620

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Clinton Drug Doing business as

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1699730275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 HIGHWAY 65 S",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "72031",
            "telephone_number": "501-745-8414",
            "fax_number": "501-745-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 HIGHWAY 65 S",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "72031",
            "telephone_number": "501-745-8414",
            "fax_number": "501-745-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON BUTLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "BEAGLE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "309-642-2620"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR12116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0412116",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117162716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100759407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clinton Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha R Chase, RECOVERY ASSISTANT
• Andrea Clark
• Nichole Deann Clark, FNP
• Clinton Butler (Clinton Drug)
• Clinton Butler, LLC (Clinton Drug)
• Clinton Thriftway Pharmacy (Harvest Foods Pharmacy)
• Carrie Collins, RECOVERY ASSISTANT
• Landry Compton
• Mary Conley, RECOVERY ASSISTANT
• Conway County Community Service Inc

• Community/Retail Pharmacy in Clinton, AR
• Providers in Clinton, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.