Trinity Med RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TRINITY MED RX, LLC

Practice address

1620 Highway 11 N Ste F
Picayune, MS 39466-2070

Phone

(769) 242-0673

Fax

(769) 242-0673

NPI assigned

Jan 25, 2024

Last updated

Feb 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanyel Torrell Moran, RPHNPI 1760253488

Title

Managing Member

Phone

(769) 242-0673

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Tanyel Torrell Moran, PHARMACIST

  • Pharmacist
  • Picayune, MS
  • NPI 1760253488
  NPD Authorized official

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1215799275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 11 N STE F",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662070",
            "telephone_number": "769-242-0673",
            "fax_number": "769-242-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 11 N STE F",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662070",
            "telephone_number": "769-242-0673",
            "fax_number": "769-242-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MED RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "TANYEL",
        "authorized_official_middle_name": "TORRELL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "769-242-0673",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dylan R Traylor, SLP
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• John Michael Varnado, DC
• Rose Vicknair
• Roxanne Vincent, P.C.A
• Rhonda A Vinet

• Community/Retail Pharmacy in Picayune, MS
• Providers in Picayune, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.