Trinity Health Pharmacy Services, LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

TRINITY HEALTH PHARMACY SERVICES, LLC

Practice address

12279 Bluffton Road
Fort Wayne, IN 46809

Phone

(407) 697-4277

NPI assigned

Oct 31, 2019

Last updated

Apr 25, 2022By 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

Damon Redding, PHARMD, MBANPI 1508867920

Title

VP and Chief Pharmacy Officer

Phone

(734) 343-7600

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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.

• Damon Gerard Redding, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Atlanta, GA
  • NPI 1508867920
  NPD Authorized official
• Zachary L Roberts, PHARMD

  • Pharmacist
  • Fort Wayne, IN
  • NPI 1497038574
  NPD

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1669016895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12279 BLUFFTON ROAD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46809",
            "telephone_number": "734-343-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12279 BLUFFTON ROAD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46809",
            "telephone_number": "407-697-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "REDDING",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "VP AND CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "734-343-7600",
        "authorized_official_credential": "PHARMD, MBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Trieglaff
• Trilogy Healthcare of Fort Wayne, LLC (Kingston Senior Living of Ft. Wayne)
• Geoffre Trimble, COTA
• Sophia Trimbur-Brasseur
• Trinity Health Pharmacy Services, LLC
• Trinity Home Health Care, Inc.
• Trinity Wellness Enterprises, Inc.
• Tristate Optical, Inc. (Cunningham Optical One)
• Rupal Trivedi, RD
• John Edward Trok, DDS

• Specialty Pharmacy in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Specialty Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.