Organization Active NPI

Trinity Medical Center

Doing business as Trinity Retail Pharmacy

  • Community/Retail Pharmacy
  • Moline, IL
National Provider Identifier
1306924816
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054017023 Issued in IL
Legal business name
TRINITY MEDICAL CENTER
Doing business as
Trinity Retail Pharmacy
Practice address
500 John Deere Rd Ste a
Moline, IL 61265-6892
Phone
(309) 779-5010
Fax
(309) 779-5018
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Billy McCallister
Title
Regional Manager of Ambulatory Phar
Phone
(309) 779-5010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054017023 IL Primary

Addresses

Primary practice location

500 John Deere Rd Ste a
Moline, IL 61265-6892

Mailing address

500 John Deere Rd Ste a
Moline, IL 61265-6892
Phone (309) 779-5010

Other identifiers 2

IdentifierTypeStateIssuer
2018629OtherPK
363320141001MedicaidIL

Other names 1

  • TRINITY RETAIL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

500 John Deere Rd
Ste A
Moline, IL 61265
Phone (309) 779-5010

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1306924816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 JOHN DEERE RD STE A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656892",
            "telephone_number": "309-779-5010",
            "fax_number": "309-779-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHN DEERE RD STE A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656892",
            "telephone_number": "309-779-5010",
            "fax_number": "309-779-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "MCCALLISTER",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "REGIONAL MANAGER OF AMBULATORY PHAR",
        "authorized_official_telephone_number": "309-779-5010"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054017023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2018629",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363320141001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY RETAIL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.