Trisha Ann Boyt, PHARMD.
Individual provider Active NPI Pharmacist · Thomaston, GA
NPI 1972104941 · NPPES record last updated Nov 5, 2020
Key facts
- NPI
- 1972104941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 022979 (GA)
- Practice address
- 855 N Church St
Thomaston, GA 30286-3622 - Phone
- (706) 648-2109
- NPI assigned
- Nov 5, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022979 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022979 | GA | Yes |
Addresses
Primary practice location
855 N Church St
Thomaston, GA 30286-3622
Mailing address
855 N Church St
Thomaston, GA 30286-3622
Phone (706) 648-2109
NPI Registry JSON
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1972104941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 N CHURCH ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863622",
"telephone_number": "706-648-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 N CHURCH ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863622",
"telephone_number": "706-648-2109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYT",
"first_name": "TRISHA",
"middle_name": "ANN",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "022979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.