Michael Scott Butler

Individual provider Active NPI Pharmacist · Philippi, WV

NPI 1982996500 · NPPES record last updated May 16, 2011

Key facts

NPI
1982996500
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP0007237 (WV)
Practice address
101 S Main St
Philippi, WV 26416-1316
Phone
(304) 457-4911
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RP0007237WVMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0007237 WV Yes

Addresses

Primary practice location

101 S Main St
Philippi, WV 26416-1316

Mailing address

101 S Main St
Philippi, WV 26416-1316
Phone (304) 457-4911

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 16, 2011.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1982996500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264161316",
            "telephone_number": "304-457-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264161316",
            "telephone_number": "304-457-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philippi, WV

All providers in Philippi, WV · Pharmacist in West Virginia

Sources for this page

Verify at the official NPI Registry.