Active NPI
Trustee Drugs, Inc.
- Community/Retail Pharmacy
- Forest Park, GA
National Provider Identifier
1871507335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE007690
- Legal business name
- TRUSTEE DRUGS, INC.
- Practice address
- 381 Forest Pkwy
Forest Park, GA 30297-2165 - Phone
- (404) 366-9088
- Fax
- (404) 366-8982
- NPI assigned
- Jul 28, 2006
- 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
- Jude Ohaya, PHARM D
- Title
- President
- Phone
- (404) 366-9088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHRE007690 | GA | Primary |
Addresses
Primary practice location
381 Forest Pkwy
Forest Park, GA 30297-2165
Mailing address
381 Forest Pkwy
Forest Park, GA 30297-2165
Phone (404) 366-9088
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000576804A | Medicaid | GA | |
| 00576804B | Medicaid | GA | |
| 2018766 | Other | PK |
Other names 1
- TRUSTEE DRUGS INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210203003120 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133249279 | Practice locations: Forest Park, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2245637 | Trustee Drugs Inc | Certificate of waiver | Dec 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Forest Park, GA
- NPI 1629669163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484697600000",
"number": "1871507335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 FOREST PKWY",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302972165",
"telephone_number": "404-366-9088",
"fax_number": "404-366-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 FOREST PKWY",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302972165",
"telephone_number": "404-366-9088",
"fax_number": "404-366-8982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUSTEE DRUGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2017-01-18",
"status": "A",
"authorized_official_last_name": "OHAYA",
"authorized_official_first_name": "JUDE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-366-9088",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE007690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000576804A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00576804B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2018766",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TRUSTEE DRUGS INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Forest Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.