TRINITY HEALTH PHARMACY SERVICES, LLC (NPI# 1669016895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669016895 |
| Entity Type | Organization |
| Organization Name | TRINITY HEALTH PHARMACY SERVICES, LLC |
| Practice Address |
12279 Bluffton Road Fort Wayne IN 46809 |
| Practice Telephone | 4076974277 |
| Mailing Telephone | 4076974277 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | ROBERT GORDON RIPLEY (VP AND CHIEF PHARMACY OFFICER) |
| Authorized Official Telephone | 7343431365 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| Street Address |
12279 BLUFFTON ROAD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038574 | Zachary L Roberts | Pharmacist | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2011-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679660278 | Kool Smiles In Ft. Wayne, PC | Dentist | 1852 Bluffton Road, Ft. Wayne, IN 46809 | 2006-10-06 |
| 1477512564 | Brian Thomas Raypole | Specialist/Technologist | 5050 N. Clinton Street, Fort Wayne, IN 46809 | 2006-03-20 |
| 1871049981 | Mark Sexton | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2016-08-29 |
| 1841573318 | Vicki Eileen Caccamo | Pharmacist | 6730 Bluffton Rd, Fort Wayne, IN 46809 | 2011-09-21 |
| 1104988112 | Karena Diane Schroeder | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2006-12-15 |
| 1013084946 | David L Kuhn | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2006-11-29 |
| 1265588404 | May R. Dahman | Specialist | 1733 Kinsmoor Ave, Fort Wayne, IN 46809-1025 | 2007-01-27 |
| 1134746209 | Laurel Schroeder | Occupational Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-07-06 |
| 1730793605 | Cody Craig | Physical Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-09-08 |
| 1952497166 | Ajay Joshi | Dentist | 1852 Bluffton Rd, Fort Wayne, IN 46809-1306 | 2006-10-05 |
| Find all providers in zip 46809 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647249 | Williams Bros. Health Care Pharmacy, Inc | Pharmacy | 1998 State St, Washington, IN 47501 | 2020-10-21 |
| 1518423003 | Costco Wholesale Corporation | Pharmacy | 260 Logistics Ave Ste A, Jeffersonville, IN 47130-4672 | 2019-02-20 |
| 1700321312 | Crosswind Pharmaceuticals, LLC | Pharmacy | 4838 Fletcher Ave Ste 2000, Indianapolis, IN 46203-1642 | 2017-01-05 |
| 1528316908 | Pharmakon Pharmaceuticals | Pharmacy | 801 Congressional Blvd Ste 200b, Carmel, IN 46032-5646 | 2012-08-16 |
| 1336465103 | Bkd Productions, LLC | Pharmacy | 5123 Chimneylake Dr, Lafayette, IN 47905-7667 | 2010-04-19 |
| 1235384827 | Marwood Low Cost Pharmacy | Pharmacy | 3381 Kentucky Ave, Indianapolis, IN 46221-2305 | 2008-11-24 |
| 1275602484 | Apria Healthcare Inc | Pharmacy | 11711 N College Ave, Ste 125, Carmel, IN 46032-5634 | 2006-11-06 |
| 1659485621 | John of Lynns Terre Haute Phcy LLC | Pharmacy | 3020 S 7th St, Terre Haute, IN 47802-3902 | 2006-08-18 |
| 1780129957 | Deaconess Hospital Inc | Pharmacy | 421 Chestnut St, Evansville, IN 47713-1227 | 2016-12-27 |
| 1972057248 | Pharmacy Corporation of America | Pharmacy | 6330 E 75th St, Ste 322, Indianapolis, IN 46250-2777 | 2016-08-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46809 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.