Organization Active NPI

Trinh Pharmacy

  • Community/Retail Pharmacy
  • Bowling Green, KY
National Provider Identifier
1447618830
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07749 Issued in KY
Legal business name
TRINH PHARMACY
Practice address
1530 Campbell LN
Bowling Green, KY 42104-4167
Phone
(270) 782-5823
Fax
(270) 936-7365
NPI assigned
Feb 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Trung TrinhNPI 1376901488
Title
Owner
Phone
(270) 782-5823

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07749 KY Primary

Addresses

Primary practice location

1530 Campbell LN
Bowling Green, KY 42104-4167

Mailing address

1530 Campbell LN
Bowling Green, KY 42104-4167
Phone (270) 782-5823

Other identifiers 2

IdentifierTypeStateIssuer
7100398570MedicaidKY
2157853OtherPK

Other names 1

  • TRINH PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223001422 KY Part B Supplier - Mass Immunization (Roster Biller Only) 4688979073 Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory

Locations

1530 Campbell Ln
Bowling Green, KY 42104
Phone (270) 782-5823

Practitioners & affiliated clinicians

Practitioners 1

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": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1447618830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CAMPBELL LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044167",
            "telephone_number": "270-782-5823",
            "fax_number": "270-936-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 CAMPBELL LN",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044167",
            "telephone_number": "270-782-5823",
            "fax_number": "270-936-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-782-5823"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100398570",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157853",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.