Individual provider Active NPI

Tori Shay Tuggle, PHARMD

  • Pharmacist
  • Charlestown, IN
National Provider Identifier
1952067092
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
021292 Issued in KY
Practice address
1250 Patrol Rd Ste 100
Charlestown, IN 47111-8670
Phone
(855) 647-7379
NPI assigned
Nov 12, 2021
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21132 NV
Pharmacist 183500000X PST.023925 LA
Pharmacist 183500000X 1-113439 KS
Pharmacist 183500000X 27868 MD
Pharmacist 183500000X 19415 OK
Pharmacist 183500000X RPH-0018622 OR
Pharmacist 183500000X 45604 TN
Pharmacist 183500000X R-6903 SD
Pharmacist 183500000X 17005 NE
Pharmacist 183500000X 21890 AL
Pharmacist 183500000X PD15732 AR
Pharmacist 183500000X PH240542 MA
Pharmacist 183500000X 5302413165 MI
Pharmacist 183500000X T-100078 MS
Pharmacist 183500000X 021292 KY Primary

Addresses

Primary practice location

1250 Patrol Rd Ste 100
Charlestown, IN 47111-8670

Mailing address

1860 Outer Loop Ste 348
Louisville, KY 40219-3429

Other practice location 1

1860 Outer Loop Ste 348
Louisville, KY 40219-3429
Phone (859) 247-0884

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
27868MDMDClinical Social Worker
21890ALMDPharmacist
PD15732ARMDPharmacist
1-113439KSMDPharmacist
021292KYMDPharmacist
PST.023925LAMDPharmacist
PH240542MAMDPharmacist
5302413165MIMDPharmacist
T-100078MSMDPharmacist
17005NEMDPharmacist
21132NVMDPharmacist
19415OKMDPharmacist
RPH-0018622ORMDPharmacist
R-6903SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Knipperx Inc. PastSince Jul 2, 2023 Accepting new patients

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": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1952067092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 OUTER LOOP STE 348",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PATROL RD STE 100",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118670",
            "telephone_number": "855-647-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Outer Loop Ste 348",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402193429",
            "country_code": "US",
            "telephone_number": "859-247-0884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUGGLE",
        "first_name": "TORI",
        "middle_name": "SHAY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "21132",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.023925",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-113439",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "27868",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "19415",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0018622",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "45604",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "R-6903",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "17005",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "21890",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15732",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH240542",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302413165",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-100078",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "021292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.