Organization Active NPI

Trinity Discount Drugs LLC

Doing business as Trinity Discount Drugs

  • Community/Retail Pharmacy
  • Trinity, AL
National Provider Identifier
1649323684
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
109750 Issued in AL
Legal business name
TRINITY DISCOUNT DRUGS LLC
Doing business as
Trinity Discount Drugs
Practice address
1380 Old Highway 24
Trinity, AL 35673-5600
Phone
(256) 350-3365
Fax
(256) 350-3366
NPI assigned
Jan 22, 2007
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Benjamin Moultrie, PHARMDNPI 1154943405
Title
Owner
Phone
(256) 350-3365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 109750 AL Primary

Addresses

Primary practice location

1380 Old Highway 24
Trinity, AL 35673-5600

Mailing address

1380 Old Highway 24
Trinity, AL 35673-5600
Phone (256) 350-3365

Other identifiers 2

IdentifierTypeStateIssuer
100001544MedicaidAL
2138115OtherPK

Other names 1

  • Trinity Discount Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210217001595 AL Part B Supplier - Pharmacy 2062719289 Practice locations: Trinity, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2084577Trinity Discount Drugs1380 Old Highway 24, Trinity, AL 35673Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Locations

1380 Old Highway 24
Trinity, AL 35673
Phone (256) 350-3365

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1649323684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 OLD HIGHWAY 24",
            "city": "TRINITY",
            "state": "AL",
            "postal_code": "356735600",
            "telephone_number": "256-350-3365",
            "fax_number": "256-350-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 OLD HIGHWAY 24",
            "city": "TRINITY",
            "state": "AL",
            "postal_code": "356735600",
            "telephone_number": "256-350-3365",
            "fax_number": "256-350-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY DISCOUNT DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "MOULTRIE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-350-3365",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "109750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001544",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinity, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.