Organization Active NPI

Trinity Pharmacies LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1356502173
Registry record updated Jan 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26050 Issued in TX
Legal business name
TRINITY PHARMACIES LLC
Doing business as
TRINITY RX
Practice address
102 Palo Alto Rd
Suite 240
San Antonio, TX 78211-3758
Phone
(210) 927-4744
Fax
(210) 927-4003
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2010

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

Authorized official

Name
Larry Oliver, RPH
Title
Owner
Phone
(210) 342-9481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26050 TX Primary

Addresses

Primary practice location

102 Palo Alto Rd
Suite 240
San Antonio, TX 78211-3758

Mailing address

PO Box 9830
Salt Lake City, UT 84109-9830
Phone (801) 716-4824

Other identifiers 2

IdentifierTypeStateIssuer
145939MedicaidTX
4549032OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • TRINITY RX 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": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264896000000",
    "number": "1356502173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "801-716-4824",
            "fax_number": "801-716-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD",
            "address_2": "SUITE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113758",
            "telephone_number": "210-927-4744",
            "fax_number": "210-927-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2010-01-31",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-342-9481",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145939",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4549032",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; 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.