Organization Active NPI

Triangle Pharmacy Inc

  • Community/Retail Pharmacy
  • Durham, NC
National Provider Identifier
1740377613
Registry record updated Jul 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03201 Issued in NC
Legal business name
TRIANGLE PHARMACY INC
Practice address
1700 E Highway 54
Durham, NC 27713
Phone
(919) 544-1711
Fax
(919) 544-0381
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2019

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

Authorized official

Name
Alice Dillard, RPHNPI 1124286075
Title
RPH
Phone
(919) 544-1711

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
Community/Retail Pharmacy 3336C0003X 03201 NC Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1700 E Highway 54
Durham, NC 27713

Mailing address

1700 E Highway 54
Durham, NC 27713
Phone (919) 544-1711

Other identifiers 2

IdentifierTypeStateIssuer
2067816OtherPK
0325548MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090908000647 NC Part B Supplier - Mass Immunization (Roster Biller Only) 9537214994 Practice locations: Durham, NC
O20220624001335 NC Part B Supplier - Independent Clinical Laboratory 9537214994 Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

1700 E NC Highway 54
Durham, NC 27713
Phone (919) 544-1711

Practitioners & affiliated clinicians

Practitioners 4

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562371200000",
    "number": "1740377613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-544-1711",
            "fax_number": "919-544-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-544-1711",
            "fax_number": "919-544-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-07-06",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "919-544-1711",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "03201",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067816",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0325548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2019; 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.