Organization Active NPI

Trinity Specialty Pharmacy LLC

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1245667807
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH27026 Issued in FL
Legal business name
TRINITY SPECIALTY PHARMACY LLC
Doing business as
FLORIDA MEDICAL PHARMACY
Practice address
13615 Bruce B Downs Blvd Ste 111
Tampa, FL 33613-4607
Phone
(813) 966-0177
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Krutika Patel
Title
Ceo
Phone
(813) 966-0177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH27026 FL Primary

Addresses

Primary practice location

13615 Bruce B Downs Blvd Ste 111
Tampa, FL 33613-4607

Mailing address

13615 Bruce B Downs Blvd
Suite 111
Tampa, FL 33613-4607
Phone (813) 966-0177

Other identifiers 1

IdentifierTypeStateIssuer
2143348OtherPK

Other names 1

  • FLORIDA MEDICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13615 Bruce B Downs Blvd
Ste 111
Tampa, FL 33613
Phone (813) 966-0177

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1245667807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 111",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134607",
            "telephone_number": "813-966-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 BRUCE B DOWNS BLVD STE 111",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134607",
            "telephone_number": "813-966-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KRUTIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-966-0177"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH27026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143348",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.