Trivillians Pharmacy of Kanawha City

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550711 Issued in WV

Legal business name

TRIVILLIANS PHARMACY OF KANAWHA CITY

Doing business as

Trivillians Pharmacy

Practice address

215 35TH St SE
Charleston, WV 25304-1318

Phone

(304) 343-8621

Fax

(304) 343-1015

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

John Hotopp

Title

Owner

Phone

(304) 343-0978

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TRIVILLIANS PHARMACY Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Practitioners 2

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

• Christopher James Booth, PHARM.D.

  • Pharmacist
  • Charleston, WV
  • NPI 1871926675
  NPD (past)
• Nikki Hamm, PHARMD

  • Pharmacist
  • Charleston, WV
  • NPI 1588097505
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1548324676",
    "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": "TRIVILLIANS PHARMACY OF KANAWHA CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "HOTOPP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-343-0978"
    },
    "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": "SP0550711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142467000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIVILLIANS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah M. Triplett, D.O.
• Phillip Reginald Triplett II, D.O.
• Rianna Triplett
• Abhijeet Yagnesh Trivedi, M.D.
• Trivi DLP (Trivillian's Pharmacy)
• Kaitlyn Trivitt
• James Truman
• Jason Tyler Truman
• Kylissa M Truman
• Renee Truman

• Community/Retail Pharmacy in Charleston, WV
• Providers in Charleston, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.