Huttula Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00057742 Issued in WA

Legal business name

HUTTULA ENTERPRISES INC

Practice address

402 W. Main St.
Elma, WA 98541-0597

Phone

(360) 482-2512

Fax

(360) 482-2010

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Tom B Huttula, RPH

Title

President

Phone

(360) 482-2512

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brewer Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780746396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985410597",
            "telephone_number": "360-482-2512",
            "fax_number": "360-482-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W. MAIN ST.",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985410597",
            "telephone_number": "360-482-2512",
            "fax_number": "360-482-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTTULA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUTTULA",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-482-2512",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00057742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4903440",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6009302",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brewer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcus William Heisler, M.D.
• Rylan Hellstern
• Beverly McClure Hinson, OTR/L
• Bernadette Louise Huard, MD
• Huttula Enterprises Inc
• Huttula Enterprises Inc
• Michael Thomas Huttula, PHARMD
• Meridith Erin Johnson-Koontz, PMHNP-BC
• Cole Robert Johnson, LMHC, MHP, CMHS
• Jessica Renae Jurasin, ARNP

• All providers in Elma, WA
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.