Active NPI
Craig W Trobaugh, R.PH
- Geriatric Pharmacist
- Pooler, GA
National Provider Identifier
1851444657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 26013193
- Practice address
- 3 Lacey Circle
Pooler, GA 31322 - Phone
- (765) 524-4321
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 26013193 | IN | Primary |
Addresses
Primary practice location
3 Lacey Circle
Pooler, GA 31322
Mailing address
3 Lacey Circle
Pooler, GA 31322-1258
Phone (912) 450-1338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26013193 | Other | IN | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26013193 | IN | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1851444657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LACEY CIRCLE",
"city": "POOLER",
"state": "GA",
"postal_code": "313221258",
"telephone_number": "912-450-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LACEY CIRCLE",
"city": "POOLER",
"state": "GA",
"postal_code": "31322",
"telephone_number": "765-524-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROBAUGH",
"first_name": "CRAIG",
"middle_name": "W",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "IN",
"license": "26013193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "26013193",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.