Individual provider Active NPI

Steven Rene' Hutchinson, RPH

  • Pharmacist
  • McKinleyville, CA
National Provider Identifier
1114149424
Registry record updated Nov 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH28201 Issued in CA
Practice address
1905 Acacia CT
McKinleyville, CA 95519-4285
Phone
(707) 498-5431
Fax
(707) 839-2889
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH28201 CA Primary

Addresses

Primary practice location

1905 Acacia CT
McKinleyville, CA 95519-4285

Mailing address

1905 Acacia CT
McKinleyville, CA 95519-4285
Phone (707) 498-5431

Other identifiers 1

IdentifierTypeStateIssuer
RPH28201OtherCAREGISTERED PHARMACIST

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH28201CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1114149424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ACACIA CT",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194285",
            "telephone_number": "707-498-5431",
            "fax_number": "707-839-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 ACACIA CT",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194285",
            "telephone_number": "707-498-5431",
            "fax_number": "707-839-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "STEVEN",
        "middle_name": "RENE'",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH28201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "RPH28201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinleyville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.