Trillium Health, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

026860 Issued in NY

Legal business name

TRILLIUM HEALTH, INC.

Doing business as

Trillium Health Pharmacy

Practice address

259 Monroe Ave
Lower Level
Rochester, NY 14607-3632

Phone

(585) 241-9000

Fax

(585) 454-2017

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Mark Joseph Malahosky, R. PH.NPI 1952505299

Title

Vice President, Pharmacy Services

Phone

(585) 210-4152

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• Trillium Health Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Trillium Health, Inc.

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1275922072

  O20160108000039

  Same enrollment
• Trillium Health, Inc.

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1881156198

  O20160108000039

  Same enrollment

Tax ID family

Trillium Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Trillium Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1578450706
  NPD tax ID
• Trillium Health, Inc.

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1881156198
  NPD tax ID

Locations

Practitioners 1

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

• Mark Joseph Malahosky, R. PH.

  • Pharmacist
  • Rochester, NY
  • NPI 1952505299
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1881752905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 SCIENCE PARKWAY",
            "address_2": "ATTN: PHARMACY ADMINISTRATION",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204251",
            "telephone_number": "855-707-4237",
            "fax_number": "877-616-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MONROE AVE",
            "address_2": "LOWER LEVEL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-241-9000",
            "fax_number": "585-454-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "MALAHOSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT, PHARMACY SERVICES",
        "authorized_official_telephone_number": "585-210-4152",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "054.020552",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "28780",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026860",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "NR1540",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "RI",
            "license": "PHN11353",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "NP001017",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RO00168800",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NC",
            "license": "13442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03007518",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2063512",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trillium Health, Inc
• Trillium Health, Inc
• Trillium Health, Inc.
• Trillium Health, Inc.
• Trillium Health, Inc.
• Daniel L Trimberger II, MD
• Aaron B Trimble, M.D.
• Joseph Trimboli, D.C.
• Scott Tripler, M.D.
• Nancy A Tripp, LCSW

• Community/Retail Pharmacy in Rochester, NY
• Providers in Rochester, NY by specialty
• Community/Retail Pharmacy in New York

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