Organization Active NPI

Trinity Health Pharmacy Services, LLC

  • Specialty Pharmacy
  • Fort Wayne, IN
National Provider Identifier
1336858802
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
TRINITY HEALTH PHARMACY SERVICES, LLC
Practice address
12279 Bluffton Rd
Fort Wayne, IN 46809-3208
Phone
(734) 343-7606
NPI assigned
Nov 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Zachary Roberts, PHARMDNPI 1497038574
Title
Director
Phone
(317) 919-2384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

12279 Bluffton Rd
Fort Wayne, IN 46809-3208

Mailing address

12279 Bluffton Rd
Fort Wayne, IN 46809-3208
Phone (734) 343-7606

National Provider Directory

National Provider Directory

Locations

12279 Bluffton Rd
Fort Wayne, IN 46809
Phone (734) 343-7600

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1336858802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12279 BLUFFTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468093208",
            "telephone_number": "734-343-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12279 BLUFFTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468093208",
            "telephone_number": "734-343-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2023-09-06",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-919-2384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.