Trinity Health Michigan

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

TRINITY HEALTH MICHIGAN

Doing business as

Trinity Health Pharmacy - Detroit

Practice address

5555 Conner St Ste 2691
Detroit, MI 48213-3812

Phone

(313) 692-8400

Fax

(313) 692-8437

NPI assigned

Feb 14, 2007

Last updated

Dec 16, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

TRINITY HEALTH MICHIGANAs reported in NPPES

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

Authorized official

Name

Ms. Tawana Middle Nettles-Robinson

Title

Executive Director

Phone

(313) 692-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Health Pharmacy - Detroit Doing business as

Part of

St Johns Hospital

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1275676066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST",
            "address_2": "SUITE 2691",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133448",
            "telephone_number": "313-579-4004",
            "fax_number": "313-267-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 2691",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133812",
            "telephone_number": "313-692-8400",
            "fax_number": "313-692-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH MICHIGAN",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "NETTLES-ROBINSON",
        "authorized_official_first_name": "TAWANA",
        "authorized_official_middle_name": "MIDDLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-692-8400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5301007421",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Health Pharmacy - Detroit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Trimpe, PT
• Trine Home Care
• Brittani Tringali, CADC-DP, CPRM
• Trinity Counseling & Educational Services
• Trinity Health Care PLLC
• Trinity Health Michigan (Mercy Primary Care Center)
• Trinity Homecare Physicians, P.L.L.C.
• Trinity Medical Clinic
• Trinity Mihp
• Nishita Tripathi, MD

• Clinic Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinic Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.