Active NPI
Trumbalt Dynamics LLC
- Community/Retail Pharmacy
- Waycross, GA
National Provider Identifier
1659207959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.