Trinity Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50657 Issued in CA

Legal business name

TRINITY PHARMACY INC

Doing business as

TRINITY PHARMACY

Practice address

1335 S Grand Ave
Glendora, CA 91740

Phone

(626) 335-2700

Fax

(626) 335-2727

NPI assigned

Jul 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. John Atalla Kolta, PHARMACISTNPI 1578160156

Title

President/Pic

Phone

(626) 335-2700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TRINITY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Trinity Pharmacy Inc2 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.

• Trinity Pharmacy Inc

  • Long Term Care Pharmacy
  • Glendora, CA
  • NPI 1164270773
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John A Kolta, RPH

  • Pharmacist
  • Glendora, CA
  • NPI 1578160156
  NPD Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1265729826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-335-2700",
            "fax_number": "626-335-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 S GRAND AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-335-2700",
            "fax_number": "626-335-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "KOLTA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ATALLA",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "626-335-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50657",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY PERMIT",
            "identifier": "PHY50657",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathaniel Blakely Townsend
• Regina Carol Trammel, LCSW
• Ha Tran, MD
• Gina Janet Travis, DC
• Trinity Pharmacy Inc
• Elizabeth Marie Trosper, MFT
• Kelly Diem Truong, RPH
• Tamara Lynn Trzcinski, PHYSICIAN ASSISTANT
• Kaitlin Tsuchiyama, DDS
• Lisa G Tucker-Parker

• Community/Retail Pharmacy in Glendora, CA
• Providers in Glendora, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.