Tripharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20378 Issued in AR

Legal business name

TRIPHARMA INC

Doing business as

Lowell Pharmacy

Practice address

114 Harrison Ave
Lowell, AR 72745-9047

Phone

(479) 770-0111

Fax

(479) 770-0113

NPI assigned

Dec 21, 2005

Last updated

Jan 5, 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

John LykinsNPI 1154925543

Title

Owner

Phone

(479) 770-0111

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• LOWELL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tripharma Inc

  dba Live Well Pharmacy

  • Community/Retail Pharmacy
  • Fayetteville, AR
  • NPI 1124658141

  O20200416002353

  Same enrollment
• Tripharma Inc

  dba Live Well Pharmacy

  • Community/Retail Pharmacy
  • Bentonville, AR
  • NPI 1609352566

  O20200416002353

  Same enrollment

Practitioners 1

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.

• John Lykins, PD

  • Pharmacist
  • Lowell, AR
  • NPI 1154925543
  Authorized official Same address or phone

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1881670818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1095",
            "city": "GRAVETTE",
            "state": "AR",
            "postal_code": "727361095",
            "telephone_number": "479-770-0111",
            "fax_number": "479-770-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HARRISON AVE",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459047",
            "telephone_number": "479-770-0111",
            "fax_number": "479-770-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "LYKINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-770-0111"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20378",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152351407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOWELL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOWELL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandy Thompson
• Elizabeth Torres Palizada
• Total Health Chiropractic (Lowell Chiropractic & Health)
• Jason Traxson, ATC
• Tripharma Inc
• Emily Mae Turner, APN
• University of Arkansas for Medical Science (Childrens University Medical Group)
• University of Arkansas for Medical Science (Childrens University Medical Group)
• University of Arkansas for Medical Sciences (Childrens University Medical Group)
• University of Arkansas for Medical Sciences (Schmieding Developmental Center)

• Community/Retail Pharmacy in Lowell, AR
• Providers in Lowell, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.