Trisons Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PP482287 Issued in PA

Legal business name

TRISONS PHARMACY LLC

Practice address

107 Rutgers Ave # S-1
Swarthmore, PA 19081-1731

Phone

(484) 472-6561

Fax

(484) 472-6562

NPI assigned

Jun 1, 2012

Organization subpart

No

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

Authorized official

Name

Mary CanzaneseNPI 1114280039

Title

Manager

Phone

(484) 472-6561

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• TRISONS PHARMACY & COMPOUND CENTER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary F Canzanese, RPH

  • Nutrition Support Pharmacist
  • Swarthmore, PA
  • NPI 1114280039
  NPD (past) Authorized official

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1487915856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RUTGERS AVE STE 1",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811725",
            "telephone_number": "484-472-6561",
            "fax_number": "484-472-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RUTGERS AVE # S-1",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811731",
            "telephone_number": "484-472-6561",
            "fax_number": "484-472-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISONS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "CANZANESE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "484-472-6561"
    },
    "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": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "PA",
            "license": "PP482287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3997472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRISONS PHARMACY & COMPOUND CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Swarthmore Dental Associates, LLC
• Swarthmore Fire and Protective Association
• Swarthmore Pediatrics and Family Medicine
• Usha R Tandon, MS, LPC, NCC
• Arianna Thomas, PT, DPT
• Kaitlyn Nicole Truitt, OTR/L
• Mary Kathleen Tuohy, MSW
• Teresa DH Ullman, LPC LMFT ATR-BC MHC
• Nanine Valen, M.S.W.,L.C.S.W.
• Glenn E Venturini, P.T.

• Compounding Pharmacy in Swarthmore, PA
• Providers in Swarthmore, PA by specialty
• Compounding Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.