Healthcare Provider Details

I. General information

NPI: 1649213604
Provider Name (Legal Business Name): JOHN HUTCHINSON PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1397 WEIMER RD
TAOS NM
87571-6284
US

IV. Provider business mailing address

408 VEGAS DE TAOS RD
TAOS NM
87571-4109
US

V. Phone/Fax

Practice location:
  • Phone: 505-751-5895
  • Fax: 505-751-5837
Mailing address:
  • Phone: 575-770-2605
  • Fax: 575-751-5895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPC00000058
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: