CLINTON BUTLER, LLC (NPI# 1235624875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235624875 |
| Entity Type | Organization |
| Organization Name | CLINTON BUTLER, LLC |
| Other Organization Name | CLINTON DRUG |
| Practice Address |
2526 Highway 65 S Clinton AR 72031-6657 |
| Practice Telephone | 5017453784 |
| Practice Fax Number | 5017458282 |
| Mailing Telephone | 5017453784 |
| Mailing Fax Number | 5017458282 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Authorized Official Name | DR. MICHAEL BUTLER (PRESIDENT) |
| Authorized Official Telephone | 4797835171 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
MG01810 | AR | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
MG01810 | AR | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | MG01810 | AR | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MG01810 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | NCPDP | 0412116 | 01 |
| Other Name | Type Code |
|---|---|
| Clinton Drug | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699730275 | Clinton Butler, LLC | Pharmacy | 2526 Highway 65 S, Clinton, AR 72031 | 2006-04-18 |
| Street Address |
2526 HIGHWAY 65 S |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-6657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982871 | Keith A Coward | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2005-06-16 |
| 1265068019 | Amy Shaw | Counselor | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2020-03-12 |
| 1487191987 | Tanna Shockley | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2017-01-23 |
| 1285090647 | Crystal Mcmahan | Nurse Practitioner | 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 | 2016-01-14 |
| 1437526241 | Lisa Edwards | Nurse Practitioner | 2526 Highway 65 S, Ste 201, Clinton, AR 72031-6657 | 2015-08-27 |
| 1114318532 | Kyle Cotton | Physician Assistant | 2526 Highway 65 S, Clinton, AR 72031 | 2015-02-06 |
| 1710387584 | Alternative Oppurtunities | Community/Behavioral Health | 2526 Highway 65 S, Ste 202, Clinton, AR 72031-6657 | 2014-08-29 |
| 1144466970 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2008-12-29 |
| 1366614935 | Ozark Medical Clinic, LLC | Internal Medicine | 2526 Highway 65 S, Suite 201, Clinton, AR 72031-6657 | 2008-03-24 |
| 1013190040 | Cheryl L Winningham | Case Manager/Care Coordinator | 2526 Highway 65 S, Clinton, AR 72031-6657 | 2007-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154942654 | Priority Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 517 S 30th St, Clinton, OK 73601-3632 | 2020-05-06 |
| 1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
| 1811427214 | Pause The Pain | Durable Medical Equipment & Medical Supplies | 637 N 1260 W, Clinton, UT 84015-9305 | 2017-06-18 |
| 1730538885 | Medworx Home Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 988 S Broad St, Clinton, SC 29325-2866 | 2016-06-09 |
| 1386011278 | St. Regis Medical Equipment Corp. | Durable Medical Equipment & Medical Supplies | 8195 Seneca Tpke, Clinton, NY 13323-1100 | 2015-08-26 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1770826158 | Mississippi Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 801 Highway 80 E, Clinton, MS 39056-5252 | 2013-04-03 |
| 1649512260 | Recovery Sports Inc | Durable Medical Equipment & Medical Supplies | 143 Navajo Cir, Clinton, MS 39056-3110 | 2013-03-21 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1235483777 | Excel Health Systems LLC | Durable Medical Equipment & Medical Supplies | 10735 Roosevelt Street, Clinton, LA 70722 | 2012-11-06 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.