Active NPI
Neil Gary Tuthill, RPH
- Pharmacist
- Marinette, WI
National Provider Identifier
1508100645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11966-40
- Practice address
- 4061 Old Peshtigo Rd
Marinette, WI 54143-3887 - Phone
- (715) 732-8040
- Fax
- (715) 732-8038
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11966-40 | WI | Primary |
Addresses
Primary practice location
4061 Old Peshtigo Rd
Marinette, WI 54143-3887
Mailing address
4061 Old Peshtigo Rd
PO Box 18
Marinette, WI 54143-3887
Phone (715) 732-8040
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11966-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1508100645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4061 OLD PESHTIGO RD",
"address_2": "PO BOX 18",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541433887",
"telephone_number": "715-732-8040",
"fax_number": "715-732-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4061 OLD PESHTIGO RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541433887",
"telephone_number": "715-732-8040",
"fax_number": "715-732-8038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTHILL",
"first_name": "NEIL",
"middle_name": "GARY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11966-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marinette, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.