Organization Active NPI

Trom Enterprises, Inc.

  • Community/Retail Pharmacy
  • Chatsworth, GA
National Provider Identifier
1780671974
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TROM ENTERPRISES, INC.
Doing business as
Carlton's Pharmacy
Practice address
101 Murray Plaza
Chatsworth, GA 30705
Phone
(706) 695-4576
Fax
(706) 695-6696
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Mr. Thomas J. Peeples Jr., PRESIDENT
Title
Owner/President
Phone
(706) 695-4576

Specialties & licenses 2

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

Addresses

Primary practice location

101 Murray Plaza
Chatsworth, GA 30705

Mailing address

101 Murray Plaza
Chatsworth, GA 30705
Phone (706) 695-4576

Other identifiers 4

IdentifierTypeStateIssuer
0002811CMedicaidGA
00022811CMedicaidGA
PHRE002530OtherGAGA STATE LIC
1124700OtherNCPDP

Other names 1

  • Carlton's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

101 Murray Plz
Chatsworth, GA 30705
Phone (706) 695-4576

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1780671974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MURRAY PLAZA",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "30705",
            "telephone_number": "706-695-4576",
            "fax_number": "706-695-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MURRAY PLAZA",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "30705",
            "telephone_number": "706-695-4576",
            "fax_number": "706-695-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROM ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "PEEPLES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-695-4576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002811C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00022811C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE LIC",
            "identifier": "PHRE002530",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1124700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlton's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.