NPIMap

Organization Active NPI

Hutchinson Clinic P a Inc

Doing business as Hutchinson Clinic Pharmacy on Main LTC

  • Long Term Care Pharmacy
  • Hutchinson, KS
National Provider Identifier
1437797529
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HUTCHINSON CLINIC P A INC
Doing business as
Hutchinson Clinic Pharmacy on Main LTC
Practice address
2101 N Waldron St Ste a
Hutchinson, KS 67502-1131
Phone
(620) 663-9542
Fax
(620) 694-4281
NPI assigned
Dec 19, 2019
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Celeste Y. Ontjes, RPH
Title
Director of Pharmacy
Phone
(620) 663-9542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2101 N Waldron St Ste a
Hutchinson, KS 67502-1131

Mailing address

1100 N Main St Ste a
Hutchinson, KS 67501-4406
Phone (620) 669-6600

Other identifiers 1

IdentifierTypeStateIssuer
100003360FMedicaidKS

Other names 1

  • Hutchinson Clinic Pharmacy on Main LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hutchinson Ortho Sports8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 N Main St
Ste A
Hutchinson, KS 67501
Phone (620) 669-2500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1437797529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MAIN ST STE A",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675014406",
            "telephone_number": "620-669-6600",
            "fax_number": "620-669-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST STE A",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021131",
            "telephone_number": "620-663-9542",
            "fax_number": "620-694-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON CLINIC P A INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "ONTJES",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "620-663-9542",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003360F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutchinson Clinic Pharmacy on Main LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hutchinson Clinic Pharmacy on Main LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.