David Nuttall Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

MA19935 Issued in MA

Practice address

46 Warren St
Taunton, MA 02780-1655

Phone

(508) 802-0124

NPI assigned

Feb 25, 2021

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Stop & Shop Supermarket Compnay, LLC

  dba Stop and Shop Pharmacy #421

  • Community/Retail Pharmacy
  • Somerset, MA
  • NPI 1336171222
  NPD (past)

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1124612569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WARREN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801655",
            "telephone_number": "508-802-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WARREN ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801655",
            "telephone_number": "508-802-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTALL",
        "first_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "MA19935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.nuttall.jr@stopandshop.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "THE STOP & SHOP SUPERMARKET COMPNAY, LLC",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "815 Grand Army Hwy",
            "city": "Somerset",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027261204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northeast Health Services, LLC (Hyland Behavioral Health)
• Guy Nubar, PA
• Mabeline Isuanett Nunez Leon
• Rosa Iris Nunez
• Margaret Mackenzie Nutbrown
• Andrew J Nystrom
• Emily O'Brien
• Sara O'Brien
• Teresa Marie O'Brien, LMHC, EDPSYCHOLOGIST
• Griffin John O'Connor

• Pharmacist in Taunton, MA
• Providers in Taunton, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.