Organization Active NPI

First Lone Star Pharmacy Group II

Doing business as Trinity Pharmacy

  • Community/Retail Pharmacy
  • Carrollton, TX
National Provider Identifier
1205054517
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27972 Issued in TX
Legal business name
FIRST LONE STAR PHARMACY GROUP II
Doing business as
Trinity Pharmacy
Practice address
1925 E Rosemeade Pkwy
Carrollton, TX 75007-2438
Phone
(972) 492-4411
Fax
(972) 492-4122
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Jonathan LipeNPI 1386274405
Title
Managing Partner
Phone
(214) 521-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27972 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1925 E Rosemeade Pkwy
Carrollton, TX 75007-2438

Mailing address

6901 Preston Rd
Dallas, TX 75205-1136
Phone (214) 521-9991

Other identifiers 1

IdentifierTypeStateIssuer
2132818OtherPK

Other names 1

  • TRINITY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210119001299 TX Part B Supplier - Pharmacy 9032343660 Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Locations

1925 E Rosemeade Pkwy
Carrollton, TX 75007
Phone (972) 492-4411

6901 Preston Rd
Dallas, TX 75205
Phone (214) 521-9955

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1205054517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051136",
            "telephone_number": "214-521-9991",
            "fax_number": "214-521-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E ROSEMEADE PKWY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072438",
            "telephone_number": "972-492-4411",
            "fax_number": "972-492-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LONE STAR PHARMACY GROUP II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "LIPE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-521-9991"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27972",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.