Trinity Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53010009012 Issued in MI

Legal business name

TRINITY PHARMACY LLC

Practice address

17330 Northland Park CT
Ste 100 a
Southfield, MI 48075-4318

Phone

(234) 444-4736

Fax

(234) 462-4169

NPI assigned

Jan 20, 2009

Organization subpart

No

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

Authorized official

Name

Hitesh Upadhyay, RPH

Title

Owner/Pharmacist in CHRG

Phone

(234) 444-4736

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1720225337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46036 MICHIGAN AVE",
            "address_2": "#108",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882304",
            "telephone_number": "734-444-4736",
            "fax_number": "734-468-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT",
            "address_2": "STE 100 A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754318",
            "telephone_number": "234-444-4736",
            "fax_number": "234-462-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "UPADHYAY",
        "authorized_official_first_name": "HITESH",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHRG",
        "authorized_official_telephone_number": "234-444-4736",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "53010009012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2372338",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Montana Trinh
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• Jordan Christine Tripp
• Linda Tripp
• Victoria Ann Tripp, AU.D.

• Community/Retail Pharmacy in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.