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
| License | State | Type | Specialty |
|---|---|---|---|
| RP0007237 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.