Individual provider Active NPI

Amy Hutchins

  • Pharmacist
  • Kingsport, TN
National Provider Identifier
1386939619
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11166 Issued in TN
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

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
013004KYMDPharmacist
0202012479VAMDPharmacist
11166TNMDFamily 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.

Verify at the official NPI Registry.