Individual provider Active NPI

Bruce Larkin Hotchkiss, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Liberty Lake, WA
National Provider Identifier
1154497287
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
1 Issued in CA
Practice address
23610 E Broadway Ave
Liberty Lake, WA 99019-9641
Phone
(509) 892-5796
NPI assigned
Nov 28, 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
Pharmacotherapy Pharmacist 1835P1200X 1 CA Primary

Addresses

Primary practice location

23610 E Broadway Ave
Liberty Lake, WA 99019-9641

Mailing address

23610 E Broadway Ave
Liberty Lake, WA 99019-9641
Phone (509) 892-5796

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154497287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23610 E BROADWAY AVE",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199641",
            "telephone_number": "509-892-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23610 E BROADWAY AVE",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199641",
            "telephone_number": "509-892-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTCHKISS",
        "first_name": "BRUCE",
        "middle_name": "LARKIN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

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.