MR. CHARLES ALLEN DUTCHER (NPI# 1659396174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659396174 |
| Entity Type | Individual |
| Full Name | MR. CHARLES ALLEN DUTCHER |
| Credential | R.PH. |
| Practice Address |
660 N. Main Taylor AZ 85939-0919 |
| Mailing Address |
660 N. Main P.o. Box 919 Taylor AZ 85939-0919 |
| Practice Telephone | 9285362044 |
| Mailing Telephone | 9285362044 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6483 | AZ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NCPDP | 0319865 | 01 |
| AZ | AHCCCS ID | 122862 | 01 |
| Street Address |
660 N. MAIN |
| City | TAYLOR |
| State | AZ |
| Zip Code | 85939-0919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821564949 | Joseph Kyle Allen | Pharmacist | 3768 Papermill Rd, 1614, Taylor, AZ 85939 | 2018-10-16 |
| 1487145835 | Byrd Family Medical Center, LLC | Clinic/Center | 14 E Tumbleweed Ln, Taylor, AZ 85939 | 2018-05-22 |
| 1467817007 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 715 N Main Street, Taylor, AZ 85939 | 2015-12-28 |
| 1114320405 | Cooper Johnson Np LLC | Nurse Practitioner | 815 N Main Street, Taylor, AZ 85939 | 2014-10-01 |
| 1851631725 | Denise Renee Staker | Technician | 2010 Hunt Ranch Rd, Taylor, AZ 85939 | 2013-02-28 |
| 1194963942 | April Dawn Olmos | Occupational Therapy Assistant | 17 South 400 Easty, Taylor, AZ 85939 | 2009-02-02 |
| 1881619617 | Rhett Flake | Pharmacist | 660 N Main St, Taylor, AZ 85939 | 2006-07-13 |
| 1992702658 | Carl Skouson Freestone | Chiropractor | 34 Casa Linda Drive, Ste D, Taylor, AZ 85939 | 2005-07-07 |
| 1639538937 | Wal-mart Stores, Inc. | Technician/Technologist | 715 N Main Street, Taylor, AZ 85939 | 2016-02-15 |
| 1023055399 | Town of Taylor | Ambulance | 425 Papermill Rd, Taylor, AZ 85939-0158 | 2006-06-02 |
| Find all providers in zip 85939 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839020 | Soma Aqeel Mirza | Pharmacist | 15549 Dupage Blvd, Taylor, MI 48180-6024 | 2020-04-10 |
| 1821564949 | Joseph Kyle Allen | Pharmacist | 3768 Papermill Rd, 1614, Taylor, AZ 85939 | 2018-10-16 |
| 1447608583 | Med Mart Pharmacy LLC | Pharmacist | 25850 Eureka Rd, Taylor, MI 48180-4924 | 2016-05-31 |
| 1417313750 | Jesse James Maldonado | Pharmacist | 100 Carlos G Parker Blvd, Taylor, TX 76574 | 2015-12-31 |
| 1760766141 | Boniface Ifeanyi Ezeokoli | Pharmacist | 9475 E Pickwick Cir, #28, Taylor, MI 48180-3857 | 2011-10-04 |
| 1598084345 | Tracy Lee Trest | Pharmacist | 100 N W Carlos G. Parker Blvd, Ste 101, Taylor, TX 76574-7060 | 2010-05-19 |
| 1770812653 | Jina Morris | Pharmacist | 1610 N. Main St., Taylor, TX 76574 | 2009-12-23 |
| 1548393002 | Mofid Beydoun | Pharmacist | 5811 Telegraph Rd, Taylor, MI 48180-1214 | 2007-03-13 |
| 1992838452 | Donna M Beydoun | Pharmacist | 9155 Telegraph Rd, Taylor, MI 48180-2365 | 2007-03-13 |
| 1881619617 | Rhett Flake | Pharmacist | 660 N Main St, Taylor, AZ 85939 | 2006-07-13 |
| Find all providers in TAYLOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.