James Butts Jr RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH00001207 Issued in NM

Legal business name

JAMES BUTTS JR RPH

Doing business as

Angel Fire Pharmacy

Practice address

3394 Highway 434
Angel Fire, NM 87710

Phone

(505) 377-2269

Fax

(505) 377-6220

NPI assigned

Mar 15, 2007

Last updated

Sep 12, 2007By 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

James Butts, RPH

Title

Owner and Pharmacist in Charge

Phone

(505) 377-2269

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ANGEL FIRE PHARMACY Doing business as

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1831223379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX E",
            "city": "ANGEL FIRE",
            "state": "NM",
            "postal_code": "877101004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 HIGHWAY 434",
            "city": "ANGEL FIRE",
            "state": "NM",
            "postal_code": "87710",
            "telephone_number": "505-377-2269",
            "fax_number": "505-377-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES BUTTS JR RPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "505-377-2269",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00001207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3206403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3206403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGEL FIRE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Deisig, FNP-C
• Timothy Doolin, DMD
• Aicha Bech Froeschle, PT
• Deborah C Halpern, LPCC
• Ruth A Hand, CFNP
• Shenan Lark
• Rhonda Joann Lee, OT
• Strider Aragorn McCash, DDS
• Moreno Valley High School
• Janet S Oliver, LPCC

• Community/Retail Pharmacy in Angel Fire, NM
• Providers in Angel Fire, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.