Individual provider Active NPI

Kathryn Tuttle, R.PH.

  • Pharmacist
  • Greenville, TX
National Provider Identifier
1225675473
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39075 Issued in TX
Practice address
4811 Wesley St
Greenville, TX 75401-5649
Phone
(903) 454-8701
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39075 TX Primary

Addresses

Primary practice location

4811 Wesley St
Greenville, TX 75401-5649

Mailing address

4811 Wesley St
Greenville, TX 75401-5649
Phone (903) 454-8701

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kathryntuttle@brookshires.com BROOKSHIRE GROCERY COMPANY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
39075TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1225675473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015649",
            "telephone_number": "903-454-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015649",
            "telephone_number": "903-454-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "KATHRYN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kathryntuttle@brookshires.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "BROOKSHIRE GROCERY COMPANY",
            "address_1": "4811 Wesley St",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754015649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.