Active NPI
Daniel Boyd Trammell, BSPHR MBA
- Pharmacist
- Athens, GA
National Provider Identifier
1922088194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015075
- 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, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09096 | Other | NC | LICENSE |
| 015075 | Other | GA | 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
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015075 | GA | MD | Pharmacist |
| 09096 | NC | MD | Pharmacist |
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.