Active NPI
Dutcher Enterprises
Doing business as Silver Creek Pharmacy #2
- Pharmacy
- Overgaard, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2984
- Legal business name
- DUTCHER ENTERPRISES
- Doing business as
- Silver Creek Pharmacy #2
- Practice address
- 2841 Highway 260 #4
Overgaard, AZ 85933-2019 - Phone
- (928) 535-6626
- Fax
- (928) 535-6628
- NPI assigned
- Jan 22, 2007
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles Allen Dutcher, R.PH.
- Title
- President
- Phone
- (928) 536-2044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2984 | AZ | Primary |
Addresses
Primary practice location
2841 Highway 260 #4
Overgaard, AZ 85933-2019
Mailing address
2841 Highway 260 #4
P.O. Box 2019
Overgaard, AZ 85933-2019
Phone (928) 535-6626
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2984 | Other | AZ | PHARMACY LICENSE |
| 438988 | Other | AZ | AHCCCS NUMBER |
Other names 1
- Silver Creek Pharmacy #2
National Provider Directory
National Provider Directory- Tax ID family
- Dutcher Enterprises
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Taylor, AZ
- NPI 1659396174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1679627533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 HIGHWAY 260 #4",
"address_2": "P.O. BOX 2019",
"city": "OVERGAARD",
"state": "AZ",
"postal_code": "859332019",
"telephone_number": "928-535-6626",
"fax_number": "928-535-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 HIGHWAY 260 #4",
"city": "OVERGAARD",
"state": "AZ",
"postal_code": "859332019",
"telephone_number": "928-535-6626",
"fax_number": "928-535-6628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUTCHER ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "DUTCHER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-536-2044",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AZ",
"license": "2984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "2984",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS NUMBER",
"identifier": "438988",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Silver Creek Pharmacy #2",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Overgaard, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.