Individual provider Active NPI

Trudy Felecia Wright, PHARMD

  • Pharmacist
  • Suwanee, GA
National Provider Identifier
1548924418
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
032863 Issued in GA
Practice address
3890 Johns Creek Pkwy Ste 160
Suwanee, GA 30024-1285
Phone
(678) 417-0122
Fax
(678) 417-1687
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 032863 GA Primary

Addresses

Primary practice location

3890 Johns Creek Pkwy Ste 160
Suwanee, GA 30024-1285

Mailing address

3890 Johns Creek Pkwy Ste 160
Suwanee, GA 30024-1285
Phone (678) 417-0122

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jcreek@concord-pharmacy.net Direct

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
032863GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
John'S Creek Pharmacy Current Accepting new patients

Locations

3890 Johns Creek Pkwy
Ste 160
Suwanee, GA 30024
Phone (678) 417-0122

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1548924418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 160",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241285",
            "telephone_number": "678-417-0122",
            "fax_number": "678-417-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JOHNS CREEK PKWY STE 160",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241285",
            "telephone_number": "678-417-0122",
            "fax_number": "678-417-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TRUDY",
        "middle_name": "FELECIA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "032863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jcreek@concord-pharmacy.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3890 Johns Creek Pkwy Ste 160",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300241285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.