Active NPI
Holy Trinity Pharmacy, LLC
- Community/Retail Pharmacy
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HOLY TRINITY PHARMACY, LLC
- Doing business as
- Holy Trinity Pharmacy, LLC
- Practice address
- 10900 State Road 54 Ste 102
Trinity, FL 34655-2267 - Phone
- (727) 312-4384
- Fax
- (727) 312-4605
- NPI assigned
- Dec 19, 2019
- Last updated
- Apr 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy S Awad, RPH
- Title
- Pharmacy Manager
- Phone
- (551) 221-5670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
10900 State Road 54 Ste 102
Trinity, FL 34655-2267
Mailing address
10900 State Road 54 Ste 102
Trinity, FL 34655-2267
Phone (551) 221-5670
Other names 1
- Holy Trinity Pharmacy, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200520003643 | FL | Part B Supplier - Pharmacy | 4486085743 | Practice locations: Trinity, FL |
| O20200615002743 | FL | DME Supplier - Pharmacy | 4486085743 | Practice locations: Trinity, FL |
National Provider Directory
National Provider DirectoryLocations
10900 State Road 54
Ste 102
Trinity, FL 34655
Phone (727) 312-4384
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Trinity, FL
- NPI 1699304246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585785600000",
"number": "1497393524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 STATE ROAD 54 STE 102",
"city": "TRINITY",
"state": "FL",
"postal_code": "346552267",
"telephone_number": "551-221-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 STATE ROAD 54 STE 102",
"city": "TRINITY",
"state": "FL",
"postal_code": "346552267",
"telephone_number": "727-312-4384",
"fax_number": "727-312-4605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLY TRINITY PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-19",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A",
"authorized_official_last_name": "AWAD",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "551-221-5670",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Holy Trinity Pharmacy, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.