Organization Active NPI

Trutt'S Pharmacy LLC

  • Community/Retail Pharmacy
  • Mifflinburg, PA
National Provider Identifier
1356863864
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP482740 Issued in PA
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, PHARMDNPI 1205294147
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.

National Provider Directory

National Provider Directory

Locations

55 Walnut St
Mifflinburg, PA 17844
Phone (570) 966-8788

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP482740 PA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.