Active NPI
Tatyana Hutchinson, DOCTOR OF PHARMACY
- Pharmacist
- Kansas City, MO
National Provider Identifier
1295013209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2011023422
- Practice address
- 4750 Lees Summit Rd
Kansas City, MO 64136-1347 - Phone
- (816) 350-3886
- NPI assigned
- Jul 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2011023422 | MO | Primary |
| Pharmacist | 183500000X | 1-15439 | KS |
Addresses
Primary practice location
4750 Lees Summit Rd
Kansas City, MO 64136-1347
Mailing address
2429 NE Carousel CT
Lees Summit, MO 64086-7037
Phone (816) 929-1367
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 |
|---|---|---|---|
| 1-15439 | KS | MD | Pharmacist |
| 2011023422 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Saint Louis, MO
- NPI 1073361952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1295013209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2429 NE CAROUSEL CT",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640867037",
"telephone_number": "816-929-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 LEES SUMMIT RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641361347",
"telephone_number": "816-350-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "TATYANA",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2011023422",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15439",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.