Daryll Butler, RPH

Primary specialty

PharmacyTaxonomy code 333600000X

License

P9787 Issued in ID

Practice address

43 W Prairie Shopping Ctr
Hayden, ID 83835-9854

Phone

(208) 772-2774

NPI assigned

Nov 7, 2021

Last updated

Nov 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1790440469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 N GUINNESS LN APT 202",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838540072",
            "telephone_number": "307-315-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W PRAIRIE SHOPPING CTR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359854",
            "telephone_number": "208-772-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DARYLL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-07",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ID",
            "license": "P9787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "riteaid.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "User Input Information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "User Input",
            "address_1": "43 W Prairie Shopping Ctr",
            "city": "Hayden",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838359854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennie Rose Brown, PHARMD
• Tyrel J Bruneel, OD
• Mark Dana Bullock, PH.D.
• Laura K. Burgeson, PA-C
• Shawn Lee Burke, PTA
• Scout Moon-Shun Cai, DPT
• Bethany Ann Camarata, LCSW CCTP
• Julianne Jean Cameron, DO
• Cre'Elle Olivia Campa, LPC
• Caring Physician's Medical Clinic

• Pharmacy in Hayden, ID
• Providers in Hayden, ID by specialty
• Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; 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.