Butterfield Pharmacy & Medical Supply at SLW LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH22976 Issued in FL

Legal business name

BUTTERFIELD PHARMACY & MEDICAL SUPPLY AT SLW LLC

Doing business as

Butterfield Pharmacy and Medical Supply

Practice address

1707 NW Saint Lucie West Blvd
Suite 166
Port St Lucie, FL 34986

Phone

(772) 323-2090

Fax

(772) 323-2091

NPI assigned

Oct 16, 2007

Last updated

Jul 20, 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

David A Wright

Title

Owner

Phone

(772) 489-3700

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• BUTTERFIELD PHARMACY AND MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1720277726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 NW SAINT LUCIE WEST BLVD",
            "address_2": "SUITE 166",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862517",
            "telephone_number": "772-323-2090",
            "fax_number": "772-323-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 NW SAINT LUCIE WEST BLVD",
            "address_2": "SUITE 166",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "772-323-2090",
            "fax_number": "772-323-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFIELD PHARMACY & MEDICAL SUPPLY AT SLW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-489-3700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH22976",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2010018",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032241500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUTTERFIELD PHARMACY AND MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BUTTERFIELD PHARMACY AND MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalee Burke
• Charles A. Buscema, MD
• Elizabeth Ann Bussler
• Mikayla Renee Butcher
• Sinoda B Butler
• Jay M Butterman, D.O.
• Charlton Butts, OD
• Bykota Health, PLLC
• Margaret Wilkinson Bynoe, BA
• C Gentle Care Agency

• Community/Retail Pharmacy in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.