Active NPI
Trinity Pharmacy Inc.
- Community/Retail Pharmacy
- Kennesaw, GA
National Provider Identifier
1639488315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE009696
- Legal business name
- TRINITY PHARMACY INC.
- Practice address
- 3600 Cherokee St NW
Suit 120
Kennesaw, GA 30144-2027 - Phone
- (770) 726-7270
- Fax
- (678) 402-1916
- NPI assigned
- Sep 29, 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
- Dr. Anthonia Nkeonyeasoa Fregene, PHARM D
- Title
- Pharmacist in Charge
- Phone
- (770) 726-7270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE009696 | GA | Primary |
Addresses
Primary practice location
3600 Cherokee St NW
Suit 120
Kennesaw, GA 30144-2027
Mailing address
3600 Cherokee Street NW
Suit 120
Kennesaw, GA 30144-2027
Phone (770) 726-7270
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320278400000",
"number": "1639488315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 CHEROKEE STREET NW",
"address_2": "SUIT 120",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301442027",
"telephone_number": "770-726-7270",
"fax_number": "678-402-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 CHEROKEE ST NW",
"address_2": "SUIT 120",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301442027",
"telephone_number": "770-726-7270",
"fax_number": "678-402-1916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-29",
"last_updated": "2011-11-03",
"status": "A",
"authorized_official_last_name": "FREGENE",
"authorized_official_first_name": "ANTHONIA",
"authorized_official_middle_name": "NKEONYEASOA",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "770-726-7270",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE009696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.