National Provider Identifier Database

TRINITY HEALTH PHARMACY SERVICES LLC
Specialty Pharmacy

A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.


Contact Information

TRINITY HEALTH PHARMACY SERVICES, LLC
12279 BLUFFTON ROAD
FORT WAYNE, IN46809
Phone: 407-697-4277
Fax:
Website:
Specialty Taxonomy Code
* Specialty Pharmacy 3336S0011X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Mail Order Pharmacy 3336M0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for TRINITY HEALTH PHARMACY SERVICES, LLC

NPI Number 1669016895
Legal business name
LBN
TRINITY HEALTH PHARMACY SERVICES, LLC
Authorized official DAMON REDDING - (VP AND CHIEF PHARMACY OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/31/2019
Last updated 04/25/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • CT Medicaid: 008107334
  • ID Medicaid: 202190019
  • IN Medicaid: 300033160
  • MI Medicaid: VS0172399
  • OH Medicaid: 0391994
  • PA Medicaid: 103759236
  • AK Other: 193819 PHARMACY LICENSE
  • AZ Other: Y008405 PHARMACY LICENSE
  • CO Other: OSP.0007488 PHARMACY LICENSE
  • CT Other: PCN.0003825 PHARMACY LICENSE
  • DE Other: A9-0012676 PHARMACY LICENSE
  • FL Other: PH33336 PHARMACY LICENSE
  • GA Other: PHNR001945 PHARMACY LICENSE
  • HI Other: PMP-1895 PHARMACY LICENSE
  • IA Other: NR5450 PHARMACY LICENSE
  • ID Other: 58582MS PHARMACY LICENSE
  • IL Other: 054.021498 PHARMACY LICENSE
  • IN Other: 60006758A PHARMACY LICENSE
  • KY Other: IN2605 PHARMACY LICENSE
  • MD Other: PO8489 PHARMACY LICENSE
  • ME Other: MO40003141 PHARMACY LICENSE
  • MI Other: 5301012447 PHARMACY LICENSE
  • MN Other: 266265 PHARMACY LICENSE
  • MO Other: 2021001793 PHARMACY LICENSE
  • MT Other: PHA-MOP-LIC-84404 PHARMACY LICENSE
  • NC Other: 14929 PHARMACY LICENSE
  • ND Other: PHAR1918 PHARMACY LICENSE
  • NH Other: NR2270 PHARMACY LICENSE
  • NJ Other: 28RO00224700 PHARMACY LICENSE
  • NM Other: PH0005403 PHARMACY LICENSE
  • NY Other: 038275 PHARMACY LICENSE
  • OH Other: 0240000154 PHARMACY LICENSE
  • OR Other: RP-0003705 PHARMACY LICENSE
  • PA Other: NP001573 PHARMACY LICENSE
  • SD Other: 400-2266 PHARMACY LICENSE
  • UT Other: 12766690-1708 PHARMACY LICENSE
  • VA Other: 0214002479 PHARMACY LICENSE
  • VT Other: 036.0134601 PHARMACY LICENSE
  • WI Other: 2521-43 PHARMACY LICENSE
  • WV Other: MO0561538 PHARMACY LICENSE
  • WY Other: NR-51935 PHARMACY LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TRINITY HEALTH PHARMACY SERVICES, LLC

There are currently no reviews for TRINITY HEALTH PHARMACY SERVICES, LLC


NPIdb - Home
v2.201