Individual provider Active NPI

Alisa Gayle Trimmell, R.PH.

  • Pharmacist
  • Amarillo, TX
National Provider Identifier
1891295374
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
TX34649 Issued in TX
Practice address
3400 River Rd
Amarillo, TX 79107-1800
Phone
(806) 383-3345
Fax
(806) 383-6935
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X TX34649 TX Primary

Addresses

Primary practice location

3400 River Rd
Amarillo, TX 79107-1800

Mailing address

3400 River Rd
Amarillo, TX 79107-1800
Phone (806) 383-3345

Other identifiers 1

IdentifierTypeStateIssuer
TX34649OtherTXTEXAS LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
TX34649TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
United Supermarkets LLC Past Accepting new patients
United Supermarkets LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1891295374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 RIVER RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791071800",
            "telephone_number": "806-383-3345",
            "fax_number": "806-383-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 RIVER RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791071800",
            "telephone_number": "806-383-3345",
            "fax_number": "806-383-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMMELL",
        "first_name": "ALISA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "TX34649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE NUMBER",
            "identifier": "TX34649",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.