NPIMap

Organization Active NPI

Trinity Resources Group, Inc

  • Community/Retail Pharmacy
  • Bowie, MD
National Provider Identifier
1407252869
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TRINITY RESOURCES GROUP, INC
Practice address
3327 Superior LN
Suite 205
Bowie, MD 20715-1922
Phone
(240) 334-2546
Fax
(240) 334-2624
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Eric A Mongo, PHD
Title
Director
Phone
(240) 334-2546

Specialties & licenses 1

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

Addresses

Primary practice location

3327 Superior LN
Suite 205
Bowie, MD 20715-1922

Mailing address

3327 Superior LN
Suite 205
Bowie, MD 20715-1922
Phone (240) 334-2546

Other names 1

  • Superior Lane Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Superior Lane Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1407252869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 SUPERIOR LN",
            "address_2": "SUITE 205",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151922",
            "telephone_number": "240-334-2546",
            "fax_number": "240-334-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 SUPERIOR LN",
            "address_2": "SUITE 205",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151922",
            "telephone_number": "240-334-2546",
            "fax_number": "240-334-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY RESOURCES GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "MONGO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-334-2546",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Lane Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.