Active NPI
Ryan Eugene Butler, RPH
- Pharmacist
- Festus, MO
National Provider Identifier
1790808061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2000163536
- Practice address
- 1275 N Truman Blvd
Festus, MO 63028-1176 - Phone
- (636) 937-4686
- NPI assigned
- Apr 9, 2007
- Last updated
- Jul 8, 2007
- 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 | 2000163536 | MO | Primary |
Addresses
Primary practice location
1275 N Truman Blvd
Festus, MO 63028-1176
Mailing address
5135 Patterson Rd
Saint Louis, MO 63129-2441
Phone (314) 416-0101
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 |
|---|---|---|---|
| 2000163536 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790808061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5135 PATTERSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631292441",
"telephone_number": "314-416-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 N TRUMAN BLVD",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281176",
"telephone_number": "636-937-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "RYAN",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2000163536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.