Active NPI
Jenny Eudora Pritchett Trammell, PHARMD
- Community/Retail Pharmacy
- Lagrange, GA
National Provider Identifier
1972106151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 022909
- Practice address
- 300 N Morgan St
Lagrange, GA 30240-2806 - Phone
- (706) 882-2971
- NPI assigned
- Nov 19, 2020
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 022909 | GA | Primary |
Addresses
Primary practice location
300 N Morgan St
Lagrange, GA 30240-2806
Mailing address
PO Box 425
Luthersville, GA 30251-0425
Phone (770) 468-9743
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lagrange | Direct |
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 |
|---|---|---|---|
| 022909 | GA | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Community/Retail Pharmacy | Past | Accepting new patients |
| Georgia CVS Pharmacy LLC | Community/Retail Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1972106151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 425",
"city": "LUTHERSVILLE",
"state": "GA",
"postal_code": "302510425",
"telephone_number": "770-468-9743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N MORGAN ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302402806",
"telephone_number": "706-882-2971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHETT TRAMMELL",
"first_name": "JENNY",
"middle_name": "EUDORA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "022909",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lagrange",
"affiliation": "N",
"endpointDescription": "300 Morgan Street 30241",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Lagrange",
"address_1": "300 N Morgan St",
"city": "LaGrange",
"state": "GA",
"country_code": "US",
"postal_code": "302402806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.