Trinity K Nichols, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

E09920 Issued in MS

Practice address

67 Watson Dr
Mantachie, MS 38855-8390

Phone

(662) 282-4245

NPI assigned

Sep 18, 2010

Last updated

Sep 18, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity's Pharmacy

  • Community/Retail Pharmacy
  • Mantachie, MS
  • NPI 1356997985
  NPD Authorized official
• Freds Stores of Tennessee Inc

  dba Freds Pharmacy 3648

  • Community/Retail Pharmacy
  • Greenville, MS
  • NPI 1093969016
  NPD (past)

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

{
    "created_epoch": "1284768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284768000000",
    "number": "1023326584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HOTZEE RD",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388558053",
            "telephone_number": "662-282-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WATSON DR",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388558390",
            "telephone_number": "662-282-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "TRINITY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-18",
        "last_updated": "2010-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E09920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mantachie Rural Health Care, Inc (Mantachie Rural Health Care Inc Behavioral Health)
• Mantachie Rural Health Care, Inc (Mantachie Rural Health Care, Inc. Mobile Unit)
• Mantachie Rural Health Care, Inc. Dental
• Susan Long Newell
• Crystal Jo Nichols, C.F.N.P.
• Pro PT (Pro Therapy)
• Cynthia Smith, FNP
• Johnathon Crawford Smith Sr., CLPN
• Kristi Diann Smith, MSN, FNP-C
• Katlyn Spradling

• Pharmacist in Mantachie, MS
• Providers in Mantachie, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2010; 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.