Trim Nutrition Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

PH27760 Issued in FL

Legal business name

TRIM NUTRITION PHARMACY

Practice address

22079 US Highway 19 N
Clearwater, FL 33765-2364

Phone

(727) 399-6468

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Ina McCormick

Title

Chief Administrative Officer

Phone

(727) 399-6468

Specialties & licenses 1

Addresses

Other names 1

• Nutrex Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1558771709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N HERCULES AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651921",
            "telephone_number": "727-399-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22079 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652364",
            "telephone_number": "727-399-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIM NUTRITION PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "INA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "727-399-6468"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "PH27760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrex Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley J. Tregillus, LM
• Jamie Denise Trettel, RDN
• Miguel E Trevino, MD PA
• Kabeer Trikkha, RBT
• Trillium Medical Group of Florida, Inc.
• Trinity Pacific 5, LLC
• Stanton P Tripodis, MD
• Alexandra Tripp, PA-C
• Heather Tripp, CST/CSFA
• Jamie Lee Tripp, ARNP

• Compounding Pharmacy in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.