Active NPI
Amy Hutchins
- Pharmacist
- Kingsport, TN
National Provider Identifier
1386939619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11166
- Practice address
- 2626 E Stone Dr Target Pharmacy T-2332
Suite 90
Kingsport, TN 37660-5883 - Phone
- (423) 578-1727
- Fax
- (423) 578-1737
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11166 | TN | Primary |
| Pharmacist | 183500000X | 0202012479 | VA | |
| Pharmacist | 183500000X | 013004 | KY |
Addresses
Primary practice location
2626 E Stone Dr Target Pharmacy T-2332
Suite 90
Kingsport, TN 37660-5883
Mailing address
2626 E Stone Dr Target Pharmacy T-2332
Suite 90
Kingsport, TN 37660-5883
Phone (423) 578-1727
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 |
|---|---|---|---|
| 013004 | KY | MD | Pharmacist |
| 0202012479 | VA | MD | Pharmacist |
| 11166 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1386939619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 E STONE DR TARGET PHARMACY T-2332",
"address_2": "SUITE 90",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605883",
"telephone_number": "423-578-1727",
"fax_number": "423-578-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 E STONE DR TARGET PHARMACY T-2332",
"address_2": "SUITE 90",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605883",
"telephone_number": "423-578-1727",
"fax_number": "423-578-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINS",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "11166",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202012479",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "013004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.