Tyler Trutt
Individual provider Active NPI Pharmacist · Mt Pleasant Mills, PA
NPI 1205294147 · NPPES record last updated Feb 7, 2016
Key facts
- NPI
- 1205294147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP441800 (PA)
- Practice address
- 9627 Route 35 Ste 20
Mt Pleasant Mills, PA 17853-8409 - Phone
- (570) 539-2050
- NPI assigned
- Feb 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP441800 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trutt'S Pharmacy LLC | Current | Accepting new patients | |
| Shade Mountain Pharmacy LLC | Current | Accepting new patients | |
| Trutt'S Pharmacy LLC | Current | Accepting new patients |
Locations
9627 Route 35
#20
Mt Pleasant Mills, PA 17853
Phone (570) 539-2050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP441800 | PA | Yes |
Addresses
Primary practice location
9627 Route 35 Ste 20
Mt Pleasant Mills, PA 17853-8409
Mailing address
9627 Route 35 Ste 20
Mt Pleasant Mills, PA 17853-8409
Phone (570) 539-2050
Other providers in Mt Pleasant Mills, PA
- Domenick Nicholas Ronco
- Jason William Schlothauer
- Shade Mountain Pharmacy LLC
- Timothy Earl Slavens
- Sun Orthopaedic Group
- Two Trails Mental Health and Wellness Center, LLC
- David M Watto
All providers in Mt Pleasant Mills, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.