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

LicenseStateTypeSpecialty
022979GAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 5, 2020.

{
    "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

All providers in Thomaston, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.