STACEY BUTCH PHARMD – NPI #1487178786
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

STACEY BUTCH is a pharmacist located in FREMONT, MI. NPPES has assigned the NPI number 1487178786 to STACEY BUTCH on July 28, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name STACEY MARIE SPRAGUE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 2 years ago on May 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STACEY BUTCH below.

NPI Profile for
STACEY BUTCH

NPI Number
1487178786
Enumeration Date

(about 9 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STACEY BUTCH
Former Name: STACEY MARIE SPRAGUE
Credentials
PHARMD
Primary location
230 W OAK ST
FREMONT, MI 49412-1526
Phone: (231) 924-4200 Fax: (616) 267-9046
Mailing address
27 W WOOD ST
NEWAYGO, MI 49337-8992
Phone: (458) 226-9044 Fax:
Sole Proprietor
No
Updated
Certification Date
May 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
MI 5302414596
183500000X
- Pharmacist
NC 27224

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.