Organization Active NPI

Trinity Pharmacy Enterprise, LLC

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1639486491
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHRE009673 Issued in GA
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

Updated by the provider on Mar 25, 2025

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.