Individual provider Active NPI

Harold R Hutton II, D.PH.

  • Pharmacist
  • Tonkawa, OK
National Provider Identifier
1003999673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7373 Issued in OK
Practice address
205 E Tonkawa Ave
Box 506
Tonkawa, OK 74653-3511
Phone
(580) 628-3312
Fax
(580) 628-3322
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7373 OK Primary

Addresses

Primary practice location

205 E Tonkawa Ave
Box 506
Tonkawa, OK 74653-3511

Mailing address

205 E Tonkawa Ave
Box 506
Tonkawa, OK 74653-3511
Phone (580) 628-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7373OKMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003999673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E TONKAWA AVE",
            "address_2": "BOX 506",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746533511",
            "telephone_number": "580-628-3312",
            "fax_number": "580-628-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E TONKAWA AVE",
            "address_2": "BOX 506",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746533511",
            "telephone_number": "580-628-3312",
            "fax_number": "580-628-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON II",
        "first_name": "HAROLD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "7373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonkawa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.