Individual provider Active NPI

David H. Tuttle, B.S. R. PH.

  • Pharmacist
  • Rutland, MA
National Provider Identifier
1184950594
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15408 Issued in MA
Practice address
18 Maple Ave.
Rutland, MA 01543-0233
Phone
(508) 886-6261
Fax
(508) 886-2443
NPI assigned
Oct 20, 2009
Last updated
Oct 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15408 MA Primary

Addresses

Primary practice location

18 Maple Ave.
Rutland, MA 01543-0233

Mailing address

18 Maple Ave.
P.O. Box 233
Rutland, MA 01543-0233
Phone (508) 886-6261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
15408MAMDPharmacist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1184950594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAPLE AVE.",
            "address_2": "P.O. BOX 233",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015430233",
            "telephone_number": "508-886-6261",
            "fax_number": "508-886-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAPLE AVE.",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015430233",
            "telephone_number": "508-886-6261",
            "fax_number": "508-886-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "DAVID",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "B.S. R. PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "15408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.