Active NPI
Vince Buttrick, PHARMD
- Critical Care Pharmacist
- West Columbia, SC
National Provider Identifier
1881366433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- 13910
- Practice address
- 2720 Sunset Boulevard
Pharmacy Department
West Columbia, SC 29169 - Phone
- (803) 936-7767
- NPI assigned
- Oct 1, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | 13910 | SC | Primary |
Addresses
Primary practice location
2720 Sunset Boulevard
Pharmacy Department
West Columbia, SC 29169
Mailing address
527 Beverly Dr
West Columbia, SC 29169-4589
Phone (330) 421-9199
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13910 | SC | MD | Critical Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1881366433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 BEVERLY DR",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694589",
"telephone_number": "330-421-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 SUNSET BOULEVARD",
"address_2": "PHARMACY DEPARTMENT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "803-936-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTRICK",
"first_name": "VINCE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "SC",
"license": "13910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.