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Deactivated NPI 1407450331 Deactivated / Inactive NPI Male Practitioner

Theotus Butler

Pharmacist • Columbus, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Theotus Butler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 22, 2020
NPI Deactivation Date July 02, 2026
Total Practice Duration ~6 Years of Practice (2020 – 2026)

Professional Overview & Biography Verified Profile Summary

Theotus Butler was a registered Pharmacist practicing in Columbus, GA. Throughout an active medical career spanning 6 years, Theotus Butler provided care at the practice location at 1622 S LUMPKIN RD until profile deactivation on 2026-07-02.

Practice Location & Contact Primary Location

Practice Address

1622 S Lumpkin Rd

Columbus, GA 319032720

Telephone 7066825282
Fax 7066823547

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
269 Specialists

Practicing in Columbus, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA 018199

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

NPI Profile Active November 22, 2020

NPI status registered as active in NPPES database

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Updated Practice Location November 22, 2020

Registered at 1622 S LUMPKIN RD, COLUMBUS, GA 319032720 (Tel: 7066825282)

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Updated Business Mailing Address November 22, 2020

Registered at 1622 S LUMPKIN RD, COLUMBUS, GA 319032720 (Tel: 6787255797)

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Provider Name / Credentials Updated November 22, 2020

Recorded as THEOTUS BUTLER

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2020

Pharmacist (License #018199 in GA)

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Initial NPI Registration & Enumeration November 22, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407450331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2020
Last Update: November 22, 2020
Deactivation Date: July 02, 2026

Mailing Address

1622 S Lumpkin Rd

Columbus, GA 319032720

Phone: 6787255797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.