Tricare Pharmacy Network

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

P06668 Issued in KY

Legal business name

TRICARE PHARMACY NETWORK

Practice address

1051 Newtown Pike Ste 140
Lexington, KY 40511-1245

Phone

(859) 277-2271

Fax

(859) 277-1532

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Daren White, RPH

Title

Owner

Phone

(859) 277-2271

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245366608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 NEWTOWN PIKE STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111245",
            "telephone_number": "859-277-2271",
            "fax_number": "859-277-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 NEWTOWN PIKE STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111245",
            "telephone_number": "859-277-2271",
            "fax_number": "859-277-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE PHARMACY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-277-2271",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P06668",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KY",
            "license": "P06668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1826948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "P06668",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen P. Trent, PA-C, ATC
• Shirley Trent, RBT
• Teena L Trent, PA
• Tri-State Centers for Sight Inc
• Max Andrew Triantafillou, MD
• Trilogy Healthcare of Fayette I, LLC
• Trilogy Healthcare of Fayette II LLC
• Trilogy Healthcare of Fayette III, LLC
• Atitaya Tahn Trimble, M.D.
• Melissa Trimble, PTA

• Compounding Pharmacy in Lexington, KY
• Providers in Lexington, KY by specialty
• Compounding Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.