Active NPI
Trutt'S Pharmacy LLC
- Community/Retail Pharmacy
- Mifflinburg, PA
National Provider Identifier
1356863864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP482740
- Legal business name
- TRUTT'S PHARMACY LLC
- Practice address
- 55 Walnut St
Mifflinburg, PA 17844-1116 - Phone
- (570) 966-8788
- Fax
- (570) 966-8777
- NPI assigned
- Jul 17, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Tyler Trutt, PHARMD
- Title
- Owner
- Phone
- (570) 716-9537
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Mt Pleasant Mills, PA
- NPI 1205294147
National Provider Directory
National Provider DirectoryLocations
55 Walnut St
Mifflinburg, PA 17844
Phone (570) 966-8788
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP482740 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
55 Walnut St
Mifflinburg, PA 17844-1116
Mailing address
55 Walnut St
Mifflinburg, PA 17844-1116
Phone (570) 966-8788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1356863864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WALNUT ST",
"city": "MIFFLINBURG",
"state": "PA",
"postal_code": "178441116",
"telephone_number": "570-966-8788",
"fax_number": "570-966-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WALNUT ST",
"city": "MIFFLINBURG",
"state": "PA",
"postal_code": "178441116",
"telephone_number": "570-966-8788",
"fax_number": "570-966-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUTT'S PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-17",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TRUTT",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-716-9537",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP482740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mifflinburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.