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BUTLER DRUG STORE INC
NPI 1285889014
Durable Medical Equipment & Medical Supplies in Portageville, MO

Active since November 20, 2008CLIA 26D2194357 · Waiver
222 E MAIN ST, PORTAGEVILLE, MO 63873(573) 379-5460(573) 379-5459 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Butler Drug Store Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUTLER DRUG STORE INC (NPI 1285889014) is a healthcare organization registered as a durable medical equipment & medical supplies in Portageville, Missouri and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Donald Rone, Owner, as its authorized official.

NPPES Registry Identity

NPI1285889014
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBUTLER DRUG STORE INC
Location Address222 E MAIN STPortageville, MO 63873-1614
Mailing Address222 E Main StPortageville, MO 63873-1614 · (573) 379-5460 · Fax (573) 379-5459
Phone(573) 379-5460
Fax(573) 379-5459
Organization SubpartYes
Authorized OfficialDonald RoneOwner · 57337795460
Enumeration DateNovember 20, 2008
✔ NPI 1285889014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
222 E MAIN ST, Portageville, MO 63873
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Other Identifiers 2

Medicare NSC0451400001
Medicaid620201400AR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2194357

Butler Drug Store, Inc · Portageville, MO
Active · expires Sep 29, 2026
CLIA Number26D2194357
Laboratory TypePharmacy
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorLauren E. Bidewell
Laboratory Phone(573) 379-5460
Laboratory LocationButler Drug Store, Inc222 E Main Street, Portageville, MO 63873
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
147 services146 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
65 services65 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
62 services62 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BUTLER DRUG STORE INC
Pharmacy
222 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-5469
DR. BRYCE ALEXANDER WALLACE PHARMD
Pharmacist
222 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-5460
BUTLER DRUG STORE INC
Pharmacy (Long Term Care Pharmacy)
222 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-5460
MR. DONALD D RONE III PHARM D
Pharmacist
222 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-5469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Butler Drug Store Inc's NPI number?

The NPI number for Butler Drug Store Inc is 1285889014. It was assigned to this organization in the NPPES registry on November 20, 2008.

Where is Butler Drug Store Inc located?

Butler Drug Store Inc is located at 222 E Main St, Portageville, MO 63873. The listed phone number is (573) 379-5460.

What is Butler Drug Store Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Butler Drug Store Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2194357) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Butler Drug Store Inc was last updated on November 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.