Tria Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TRIA PHARMACY LLC

Practice address

7687 Washinton Ave S
Edina, MN 55439

Phone

(952) 836-5866

NPI assigned

Oct 24, 2023

Organization subpart

No

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

• Ahmedfowz Mohamed Osman, RPH

  • Pharmacist
  • Edian, MN
  • NPI 1124315841
  NPD Authorized official
• Imene Amor, PHARMD

  • Pharmacist
  • Belleville, IL
  • NPI 1255098760
  NPD

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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

Authorized official

Name

Mr. Ahmedfowz Mohamed Osman, RPHNPI 1124315841

Title

Pharmacist/Owner

Phone

(952) 836-5866

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1992577928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 WASHINTON AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "952-836-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7687 WASHINTON AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "952-836-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-21",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "AHMEDFOWZ",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "952-836-5866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talitha Skory Travis, M.D.
• Tara Doyle Tredennick, M.D.
• Tamara Ann Trella, M.D.
• Lavaun Marilyn Trelstad, P.T.
• Katelyn Marie Trexel
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• Jenna L Troiani, OD
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• Krystle Ann Troyer, DPM

• All providers in Edina, MN
• Long Term Care Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.