NPIMap

Organization Active NPI

Trinity Pharmacy Enterprise II LLC

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1316330772
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRE010129 Issued in GA
Legal business name
TRINITY PHARMACY ENTERPRISE II LLC
Doing business as
TRINITY PHARMACY II
Practice address
3886 Princeton Lakes Way SW
180
Atlanta, GA 30331-5511
Phone
(404) 343-1624
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Mrs. Clementine Ebenye Nanje, PHARM D
Title
Owner
Phone
(404) 343-1624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PHRE010129 GA Primary

Addresses

Primary practice location

3886 Princeton Lakes Way SW
180
Atlanta, GA 30331-5511

Mailing address

3003 Hopeland Dr
Powder Springs, GA 30127-6003
Phone (678) 949-0994

Other names 1

  • TRINITY PHARMACY II Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1316330772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 HOPELAND DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276003",
            "telephone_number": "678-949-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 PRINCETON LAKES WAY SW",
            "address_2": "180",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315511",
            "telephone_number": "404-343-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHARMACY ENTERPRISE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "NANJE",
        "authorized_official_first_name": "CLEMENTINE",
        "authorized_official_middle_name": "EBENYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-343-1624",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHRE010129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY PHARMACY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.