Trudal, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE010050 Issued in GA

Legal business name

TRUDAL, LLC

Doing business as

Eastside Family Pharmacy

Practice address

1795 Presidential Cir
Snellville, GA 30078-5644

Phone

(770) 807-0137

Fax

(770) 696-9374

NPI assigned

Jul 17, 2014

Last updated

Jul 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Duke Dalton

Title

Owner

Phone

(770) 807-0137

Specialties & licenses 2

Addresses

Other names 1

• Eastside Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Esther M Truitt, PHARMD

  • Pharmacist
  • Snellville, GA
  • NPI 1497331334
  NPD

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1164839577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3896 RIVERBANK DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472587",
            "telephone_number": "404-642-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 PRESIDENTIAL CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785644",
            "telephone_number": "770-807-0137",
            "fax_number": "770-696-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUDAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "DUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-807-0137",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010050",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leenah Rose Trinh
• Thao Trinh
• Coral K Trinidad, LPC
• Tropical Health Hospice of Georgia
• Kaprice M Tropnas
• True Care Staffing, LLC
• True Medical Healthcare Services LLC
• True Medical Supplies LLC
• True North Counseling
• Truebright Home Care

• Community/Retail Pharmacy in Snellville, GA
• Providers in Snellville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.