Active NPI
Huttula Enterprises Inc
Doing business as East County Pharmacy
- Community/Retail Pharmacy
- Elma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HUTTULA ENTERPRISES INC
- Doing business as
- East County Pharmacy
- Practice address
- 610 E Main St
Suite 200
Elma, WA 98541 - Phone
- (360) 861-8670
- Fax
- (360) 861-8620
- NPI assigned
- Dec 6, 2018
- Last updated
- Nov 13, 2020
- 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. Michael Thomas Huttula, PHARMD
- Title
- Pharmacist in Charge (Pic)
- Phone
- (360) 861-8670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
610 E Main St
Suite 200
Elma, WA 98541
Mailing address
PO Box 558
Elma, WA 98541-0558
Phone (360) 861-8670
Other names 1
- East County Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150925002547 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 1951429000 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Elma, WA; McCleary, WA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Elma Pharmacy
- Community/Retail Pharmacy
- Elma, WA
- NPI 1235291725
O20150925002547
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2185156 | East County Pharmacy | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Huttula Enterprises Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- McCleary, WA
- NPI 1124480074
Locations
610 E Main St
Ste 200
Elma, WA 98541
Phone (360) 861-8670
115 W Simpson Ave
McCleary, WA 98557
Phone (360) 495-0700
Practitioners & affiliated clinicians
Practitioners 2
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
- Elma, WA
- NPI 1306103882
-
- Pharmacist
- Aberdeen, WA
- NPI 1356590665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605225600000",
"number": "1992276794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 558",
"city": "ELMA",
"state": "WA",
"postal_code": "985410558",
"telephone_number": "360-861-8670",
"fax_number": "360-861-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E MAIN ST",
"address_2": "SUITE 200",
"city": "ELMA",
"state": "WA",
"postal_code": "98541",
"telephone_number": "360-861-8670",
"fax_number": "360-861-8620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUTTULA ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-06",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A",
"authorized_official_last_name": "HUTTULA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE (PIC)",
"authorized_official_telephone_number": "360-861-8670",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East County Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elma, WA
- Rylan Hellstern
- Beverly McClure Hinson, OTR/L
- Bernadette Louise Huard, MD
- Huttula Enterprises Inc (Elma Pharmacy)
- Huttula Enterprises Inc (Brewer Pharmacy)
- Michael Thomas Huttula, PHARMD
- Meridith Erin Johnson-Koontz, PMHNP-BC
- Cole Robert Johnson, LMHC, MHP, CMHS
- Jessica Renae Jurasin, ARNP
- Deepinderjeet Kaur, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.