Individual provider Active NPI

Nickolas Cameron Hutchings, PHARMD

  • Clinical Pharmacology Physician
  • South Berwick, ME
National Provider Identifier
1194289876
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pharmacology PhysicianTaxonomy code 208U00000X
License
PR47116 Issued in ME
Practice address
289 Main St
South Berwick, ME 03908-1543
Phone
(207) 384-2772
NPI assigned
Jan 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pharmacology Physician 208U00000X PHCY-04554 NH
Clinical Pharmacology Physician 208U00000X PR47116 ME Primary

Addresses

Primary practice location

289 Main St
South Berwick, ME 03908-1543

Mailing address

289 Main St
South Berwick, ME 03908-1543
Phone (207) 384-2772

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
PR47116MEMDClinical Pharmacology Physician
PHCY-04554NHMDClinical Pharmacology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Berwick Pharmacy Seacoast Compounding Inc Past Accepting new patients
South Berwick Pharmacy Seacoast Compounding Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1194289876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081543",
            "telephone_number": "207-384-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081543",
            "telephone_number": "207-384-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINGS",
        "first_name": "NICKOLAS",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "NH",
            "license": "PHCY-04554",
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "ME",
            "license": "PR47116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Berwick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.