NPIMap

Organization Active NPI

Trans Alliance Lab Inc

Doing business as wayfield pharmacy 1801

  • Pharmacy
  • East Point, GA
National Provider Identifier
1699917518
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE009574 Issued in GA
Legal business name
TRANS ALLIANCE LAB INC
Doing business as
wayfield pharmacy 1801
Practice address
2020 Headland Dr
East Point, GA 30344-2135
Phone
(404) 530-0000
Fax
(404) 530-0055
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Chinwe Nwabude
Title
Pharmacist
Phone
(404) 699-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE009574 GA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2020 Headland Dr
East Point, GA 30344-2135

Mailing address

PO Box 767757
Roswell, GA 30076-7757

Other identifiers 1

IdentifierTypeStateIssuer
1158511OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • wayfield pharmacy 1801 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trans Alliance Lab5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2020 Headland Dr
East Point, GA 30344
Phone (404) 530-0000

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1699917518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767757",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300767757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HEADLAND DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442135",
            "telephone_number": "404-530-0000",
            "fax_number": "404-530-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANS ALLIANCE LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "NWABUDE",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-699-9000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE009574",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1158511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wayfield pharmacy 1801",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.