Individual provider Active NPI

Daniel Boyd Trammell, BSPHR MBA

  • Pharmacist
  • Athens, GA
National Provider Identifier
1922088194
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
015075 Issued in GA
Practice address
795 Oglethorpe Ave
CVS/Caremark #5704
Athens, GA 30606-4085
Phone
(706) 549-6838
Fax
(706) 549-6837
NPI assigned
Jan 22, 2006
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 015075 GA Primary
Pharmacist 183500000X 09096 NC

Addresses

Primary practice location

795 Oglethorpe Ave
CVS/Caremark #5704
Athens, GA 30606-4085

Mailing address

2051 Keeneland Dr
Watkinsville, GA 30677-5920
Phone (770) 725-2775

Other identifiers 2

IdentifierTypeStateIssuer
09096OtherNCLICENSE
015075OtherGALICENSE

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
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
015075GAMDPharmacist
09096NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1922088194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KEENELAND DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306775920",
            "telephone_number": "770-725-2775",
            "fax_number": "706-549-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 OGLETHORPE AVE",
            "address_2": "CVS/CAREMARK #5704",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306064085",
            "telephone_number": "706-549-6838",
            "fax_number": "706-549-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMMELL",
        "first_name": "DANIEL",
        "middle_name": "BOYD",
        "name_prefix": "Mr.",
        "credential": "BSPHR MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-22",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "015075",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "09096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "09096",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "015075",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.