Holy Trinity Pharmacy LTC LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

HOLY TRINITY PHARMACY LTC LLC

Practice address

10900 State Road 54 Ste 102B
Trinity, FL 34655-2267

Phone

(727) 312-4384

Fax

(727) 312-4605

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Nancy Samir Awad, PHARMACIST

Title

Owner

Phone

(727) 312-4384

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Holy Trinity Pharmacy LTC LLC Doing business as
• Holy Trinity Pharmacy, LTC LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Holy Trinity Pharmacy LLC2 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.

• Holy Trinity Pharmacy, LLC

  • Durable Medical Equipment & Medical Supplies
  • New Port Richey, FL
  • NPI 1811657588
  NPD tax ID

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1265017685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 STATE ROAD 54 STE 102B",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346552267",
            "telephone_number": "727-312-4384",
            "fax_number": "727-312-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 STATE ROAD 54 STE 102B",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346552267",
            "telephone_number": "727-312-4384",
            "fax_number": "727-312-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY TRINITY PHARMACY LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-312-4384",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105889100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Trinity Pharmacy LTC LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holy Trinity Pharmacy, LTC LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holy Trinity Pharmacy, LTC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Hinkle
• Jonathan Goodwin Hisghman II, D.O.
• Lacey T Hodgson, ARNP
• Katharine Teresa Hoffman, MD
• Holiday CVS LLC
• Holy Trinity Pharmacy, LLC
• Hope for Healing Counseling, LLC
• Horizons Mental Health LLC
• Jason Charles Horwitz, D.D.S
• Jonathan Houle, PT, DPT

• Long Term Care Pharmacy in Trinity, FL
• Providers in Trinity, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.