Active NPI
Trina Lorraine Stewart, PHARM.D.
- Pharmacist
- Stone Mountain, GA
National Provider Identifier
1912226408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHRE008348
- Practice address
- 965 N Hairston Rd
Stone Mountain, GA 30083-2880 - Phone
- (770) 413-1931
- NPI assigned
- May 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHRE008348 | GA | Primary |
Addresses
Primary practice location
965 N Hairston Rd
Stone Mountain, GA 30083-2880
Mailing address
415 Armour Dr NE
Apt. 11106
Atlanta, GA 30324-3933
Phone (504) 400-9245
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHRE008348 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274572800000",
"number": "1912226408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ARMOUR DR NE",
"address_2": "APT. 11106",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243933",
"telephone_number": "504-400-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 N HAIRSTON RD",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300832880",
"telephone_number": "770-413-1931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "TRINA",
"middle_name": "LORRAINE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-23",
"last_updated": "2010-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "PHRE008348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.