Active NPI
Trinity Pharmacy Enterprise, LLC
- Pharmacist
- Atlanta, GA
National Provider Identifier
1639486491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHRE009673
- Legal business name
- TRINITY PHARMACY ENTERPRISE, LLC
- Practice address
- 3565 Martin Luther King Jr Dr SW Ste 2
Atlanta, GA 30331-4016 - Phone
- (678) 705-5690
- Fax
- (678) 705-5625
- NPI assigned
- Aug 31, 2010
- 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
- Mrs. Clementine Nanje
- Title
- Pharmacist/Owner
- Phone
- (678) 949-0994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHRE009673 | GA | Primary |
Addresses
Primary practice location
3565 Martin Luther King Jr Dr SW Ste 2
Atlanta, GA 30331-4016
Mailing address
2505 Greenes LN
Powder Springs, GA 30127-3719
Phone (678) 949-0994
National Provider Directory
National Provider DirectoryLocations
3565 Martin Luther King Jr Dr SW
Ste 2
Atlanta, GA 30331
Phone (678) 705-5690
3379 Martin Luther King Jr Dr SW
Atlanta, GA 30331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1639486491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 GREENES LN",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301273719",
"telephone_number": "678-949-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3565 MARTIN LUTHER KING JR DR SW STE 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303314016",
"telephone_number": "678-705-5690",
"fax_number": "678-705-5625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY PHARMACY ENTERPRISE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-31",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "NANJE",
"authorized_official_first_name": "CLEMENTINE",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "678-949-0994",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "GA",
"license": "PHRE009673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.