Organization Active NPI

Trumbalt Dynamics LLC

  • Community/Retail Pharmacy
  • Waycross, GA
National Provider Identifier
1659207959
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TRUMBALT DYNAMICS LLC
Practice address
301 Garlington Ave Apt 22
Waycross, GA 31503-2709
Phone
(678) 879-2819
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Azauntti Edwards
Title
Organizer
Phone
(678) 879-2819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

301 Garlington Ave Apt 22
Waycross, GA 31503-2709

Mailing address

2021 N Slappey Blvd # 169
Albany, GA 31701-1001
Phone (678) 879-2819

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1659207959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N SLAPPEY BLVD # 169",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011001",
            "telephone_number": "678-879-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GARLINGTON AVE APT 22",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315032709",
            "telephone_number": "678-879-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMBALT DYNAMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "AZAUNTTI",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "678-879-2819"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.