Trinity's Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TRINITY'S PHARMACY

Practice address

2745 Highway 371 N
Mantachie, MS 38855

Phone

(662) 282-5757

Fax

(662) 282-5760

NPI assigned

Aug 9, 2019

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trinity K Nichols, PHARMDNPI 1023326584

Title

Owner/Pharmacist in Charge

Phone

(662) 401-2805

Specialties & licenses 2

Addresses

Other names 1

• Sonshine Pharmacy Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trinity K Nichols, PHARMD

  • Pharmacist
  • Mantachie, MS
  • NPI 1023326584
  NPD Authorized official

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1356997985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 HWY 371 N",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "388559114",
            "telephone_number": "662-282-5757",
            "fax_number": "662-282-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 HIGHWAY 371 N",
            "city": "MANTACHIE",
            "state": "MS",
            "postal_code": "38855",
            "telephone_number": "662-282-5757",
            "fax_number": "662-282-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2023-08-29",
        "certification_date": "2020-07-11",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "TRINITY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "662-401-2805",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sonshinepharmacy.com",
            "affiliation": "N",
            "address_1": "2745 Highway 371 N",
            "city": "Mantachie",
            "state": "MS",
            "country_code": "US",
            "postal_code": "38855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sonshine Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katlyn Spradling
• Virginia M Sprayberry, SLP
• Kimberly M Stanley, FNP
• Leita N Stark, FNP-BC
• Michael Ann Tally
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3863)
• Valerie West
• Paige Westmoreland, PMHNP
• Mallory Williams

• Community/Retail Pharmacy in Mantachie, MS
• Providers in Mantachie, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.