Active NPI
Dolores Anne Kutzer
- Pharmacist
- Kill Devil Hills, NC
National Provider Identifier
1174259378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19381
- Practice address
- 1101 S Croatan Hwy
Kill Devil Hills, NC 27948-8708 - Phone
- (252) 441-3633
- NPI assigned
- Jul 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19381 | NC | Primary |
Addresses
Primary practice location
1101 S Croatan Hwy
Kill Devil Hills, NC 27948-8708
Mailing address
102 Duchess CT
Kill Devil Hills, NC 27948-9125
Phone (824) 440-8590
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dolores.Kutzer@cvshealth.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19381 | NC | MD | Pharmacist |
Interoperability endpoints
- dolores.kutzer@cvshealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1174259378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 DUCHESS CT",
"city": "KILL DEVIL HILLS",
"state": "NC",
"postal_code": "279489125",
"telephone_number": "824-440-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S CROATAN HWY",
"city": "KILL DEVIL HILLS",
"state": "NC",
"postal_code": "279488708",
"telephone_number": "252-441-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTZER",
"first_name": "DOLORES",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19381",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dolores.Kutzer@cvshealth.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1101 S Croatan Hwy",
"city": "Kill Devil Hills",
"state": "NC",
"country_code": "US",
"postal_code": "279488708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kill Devil Hills, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.