Organization Active NPI

Trivi DLP

  • Community/Retail Pharmacy
  • Charleston, WV
National Provider Identifier
1477938181
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552495 Issued in WV
Legal business name
TRIVI DLP
Practice address
215 35TH St SE
Charleston, WV 25304-1318
Phone
(304) 343-8621
Fax
(304) 343-1015
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
David Penix, PHARMD
Title
Owner
Phone
(304) 546-9199

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X SP0552495 WV Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

215 35TH St SE
Charleston, WV 25304-1318

Mailing address

215 35TH St SE
Charleston, WV 25304-1318
Phone (304) 343-8621

Other identifiers 1

IdentifierTypeStateIssuer
3910007195MedicaidWV

Other names 1

  • Trivillian's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

215 35th St SE
Charleston, WV 25304
Phone (304) 343-8621

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": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1477938181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 35TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041318",
            "telephone_number": "304-343-8621",
            "fax_number": "304-343-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 35TH ST SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041318",
            "telephone_number": "304-343-8621",
            "fax_number": "304-343-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIVI DLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "PENIX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-546-9199",
        "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": "WV",
            "license": "SP0552495",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910007195",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trivillian's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.