Trinity Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PHAO1179 Issued in AK

Legal business name

TRINITY COMPOUNDING PHARMACY

Practice address

1515 Oak St
Eugene, OR 97401-4790

Phone

(541) 684-9352

Fax

(541) 684-0858

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Anne HarthmanNPI 1396254819

Title

Chief Clinical Officer, Pic

Phone

(541) 684-9352

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• BROADWAY APOTHECARY Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne Elizabeth Harthman, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Eugene, OR
  • NPI 1396254819
  NPD Authorized official

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1154414597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014790",
            "telephone_number": "541-684-9352",
            "fax_number": "541-684-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 OAK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014790",
            "telephone_number": "541-684-9352",
            "fax_number": "541-684-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "HARTHMAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER, PIC",
        "authorized_official_telephone_number": "541-684-9352"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "HI",
            "license": "PMP-792",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0001564",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "PHNR.FO.60312318",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AK",
            "license": "PHAO1179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227829",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079479",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581038",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2096620",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADWAY APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophia Randala Trent, LMT
• Amy Trezona
• Linda Sue Trickey, RDH, BSC
• Cristina Rena Trigg
• Moore Luck Trinidad, NP
• Mary Troffaes
• Rebecca Trojan, M.D.
• Mitchell Ray Trotter, LCSW
• Rosalind Blakely Trotter
• Matthew Trout

• Compounding Pharmacy in Eugene, OR
• Providers in Eugene, OR by specialty
• Compounding Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.