Active NPI
William Joseph Tuttle Sr.
- Pharmacist
- Kingsland, GA
National Provider Identifier
1699378273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH014256
- Practice address
- 1402 Boone St
Kingsland, GA 31548-6781 - Phone
- (912) 729-6227
- NPI assigned
- Nov 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH014256 | GA | Primary |
Addresses
Primary practice location
1402 Boone St
Kingsland, GA 31548-6781
Mailing address
1402 Boone St
Kingsland, GA 31548-6781
Phone (912) 729-6227
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH014256 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1699378273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 BOONE ST",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486781",
"telephone_number": "912-729-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 BOONE ST",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486781",
"telephone_number": "912-729-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTTLE",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH014256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.