Organization Active NPI

Trifecta Pharmacy LLC

Doing business as Woodlands Community Pharmacy

  • Community/Retail Pharmacy
  • The Woodlands, TX
National Provider Identifier
1275032948
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31784 Issued in TX
Legal business name
TRIFECTA PHARMACY LLC
Doing business as
Woodlands Community Pharmacy
Practice address
9303 Pinecroft Ste 300
The Woodlands, TX 77380
Phone
(281) 446-2952
Fax
(281) 331-6109
NPI assigned
Feb 7, 2018
Last updated
May 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Rajeev Yalamanchili
Title
Officer
Phone
(409) 504-9910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 31784 TX Primary

Addresses

Primary practice location

9303 Pinecroft Ste 300
The Woodlands, TX 77380

Mailing address

9303 Pinecroft Ste 300
The Woodlands, TX 77380
Phone (281) 446-2952

Other identifiers 1

IdentifierTypeStateIssuer
2175429OtherPK

Other names 1

  • Woodlands Community Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

9303 Pinecroft Dr
Ste 300
The Woodlands, TX 77380
Phone (281) 466-2952

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1275032948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT STE 300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-446-2952",
            "fax_number": "281-331-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 PINECROFT STE 300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-446-2952",
            "fax_number": "281-331-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIFECTA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "409-504-9910"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175429",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.