Tri-Tech Pharmaceuticals

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49980 Issued in CA

Legal business name

TRI-TECH PHARMACEUTICALS

Doing business as

Tri-Tech Pharmaceuticals

Practice address

910 Broadway
No 105
Santa Monica, CA 90401-2795

Phone

(424) 268-1780

Fax

(424) 268-1784

NPI assigned

Jun 18, 2009

Last updated

Jun 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eleanor Kong, RPH

Title

Owner, Pic, Ao

Phone

(424) 268-1780

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• TRI-TECH PHARMACEUTICALS Doing business as

Locations

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1619104544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BROADWAY",
            "address_2": "NO 105",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012795",
            "telephone_number": "424-268-1780",
            "fax_number": "424-268-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BROADWAY",
            "address_2": "NO 105",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012795",
            "telephone_number": "424-268-1780",
            "fax_number": "424-268-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-TECH PHARMACEUTICALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "424-268-1780",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49980",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI-TECH PHARMACEUTICALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline V Trejo, M.D.
• Natasha Trentacosta, MD
• Paula Celine Trepman, MD
• Georgia Trester
• Tri Tech RX, Inc.
• Rachel Triche, MD
• Ana Patricia Trinidad, PHARMD
• Orrin M Troum, MD
• Mary Trumpi, DC
• Beverly Trunk

• Community/Retail Pharmacy in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.