Organization Active NPI

Trinity Care Pharma Inc

  • Pharmacy
  • Stanton, CA
National Provider Identifier
1710111950
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY 49913 Issued in CA
Legal business name
TRINITY CARE PHARMA INC
Practice address
8381 Katella Ave Ste O
Stanton, CA 90680-3246
Phone
(714) 484-9910
Fax
(714) 484-9911
NPI assigned
May 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Sameh M. Mounir, RPHNPI 1992939136
Title
President
Phone
(714) 484-9910

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 49913 CA Primary
Community/Retail Pharmacy 3336C0003X PHY 49913 CA
Long Term Care Pharmacy 3336L0003X PHY 49913 CA

Addresses

Primary practice location

8381 Katella Ave Ste O
Stanton, CA 90680-3246

Mailing address

8381 Katella Ave Ste O
Stanton, CA 90680-3246
Phone (714) 484-9910

Other names 1

  • TRINITY CARE RX Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930049753 CA DME Supplier - Pharmacy 0547451528 Practice locations: Stanton, CA

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Trinity Care RX8381 Katella Ave, Stanton, CA 90680-3246(714) 484-9910 Infusion Drugs|Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Mar 29, 2010

National Provider Directory

National Provider Directory

Locations

8381 Katella Ave
Ste O
Stanton, CA 90680
Phone (714) 484-9910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1710111950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8381 KATELLA AVE STE O",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803246",
            "telephone_number": "714-484-9910",
            "fax_number": "714-484-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 KATELLA AVE STE O",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803246",
            "telephone_number": "714-484-9910",
            "fax_number": "714-484-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY CARE PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-02",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "MOUNIR",
        "authorized_official_first_name": "SAMEH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-484-9910",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 49913",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 49913",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY 49913",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY CARE RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.