Individual provider Active NPI

Kristy Lynn Tuttle, PHARMD

  • Pharmacist
  • East Liverpool, OH
National Provider Identifier
1760083331
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03127444 Issued in OH
Practice address
16280 Dresden Ave Ste a
East Liverpool, OH 43920-9025
Phone
(330) 386-9813
Fax
(330) 386-9815
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03127444 OH Primary

Addresses

Primary practice location

16280 Dresden Ave Ste a
East Liverpool, OH 43920-9025

Mailing address

16280 Dresden Ave Ste a
East Liverpool, OH 43920-9025
Phone (330) 386-9813

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03127444OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1760083331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16280 DRESDEN AVE STE A",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209025",
            "telephone_number": "330-386-9813",
            "fax_number": "330-386-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16280 DRESDEN AVE STE A",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209025",
            "telephone_number": "330-386-9813",
            "fax_number": "330-386-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03127444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.