Trinitycare Infusion Services

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PHY46033 Issued in CA

Legal business name

TRINITYCARE INFUSION SERVICES

Doing business as

TRINITYCARE INFUSION SERVICES

Practice address

9221 Corbin Ave Ste 190
Northridge, CA 91324-1600

Phone

(818) 700-5565

Fax

(818) 407-0991

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Lainey Kim

Title

Director of Pharmacy

Phone

(818) 700-5565

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TRINITYCARE INFUSION SERVICES Doing business as

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1972637486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 CORBIN AVE",
            "address_2": "SUITE 190",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242483",
            "telephone_number": "818-700-5565",
            "fax_number": "818-407-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 CORBIN AVE STE 190",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241600",
            "telephone_number": "818-700-5565",
            "fax_number": "818-407-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITYCARE INFUSION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "LAINEY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "818-700-5565"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY46033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972637486",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2115689",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITYCARE INFUSION SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Infusion Therapy Pharmacy in Northridge, CA
• Providers in Northridge, CA by specialty
• Home Infusion Therapy Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.