Theresa Marie Butcher, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

60467899 Issued in WA

Practice address

19245 10TH Ave NE
Poulsbo, WA 98370-7456

Phone

(360) 394-1589

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Marie Larkin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Safeway Inc

  dba Safeway Pharmacy #3148

  • Community/Retail Pharmacy
  • Poulsbo, WA
  • NPI 1619389921
  NPD (past)
• Safeway Inc

  dba Safeway Pharmacy #0209

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1861809576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3387 SE AZALEA AVE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983661705",
            "telephone_number": "925-323-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19245 10TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707456",
            "telephone_number": "360-394-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "60467899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "LARKIN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holly Elizabeth Bullion, FNP-C
• Erika Bulnes, CDPT
• Hannah Bundgard, RN
• Michael S. Burke, M.D.
• Kylie Burns
• Mark Elliot Butler, PHARMACIST
• Edward O. Bye, R.PH.
• C & R Helath (Clark Chiropractic)
• Robert Charles Callahan, D.O.
• Joel Camp

• Pharmacist in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.