Trinity Health Pharmacy Services, Llc

LBN: Trinity Health Pharmacy Services, Llc
Trinity Health Pharmacy Services, Llc is an health care organization with primary practice located at 12279 Bluffton Road , Fort Wayne IN 46809. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Trinity Health Pharmacy Services, Llc can be contacted via phone (407) 697-4277, or through Redding, Damon via phone (734) 343-7600.

Contact Information

Primary practice address
12279 Bluffton Road Fort Wayne IN 46809
Phone: (407) 697-4277
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Redding, Damon PHARMD, MBA
Phone: (734) 343-7600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1669016895
LBN Legal business name Trinity Health Pharmacy Services, Llc
DBA Doing business as
Authorized official Redding, Damon PHARMD, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2019
Last updated Apr 25th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669016895 NPPES
Ohio MEDICAID 0391994
Ohio Other 2521-43
Ohio Other PMP-1895
Ohio Other PO8489
Ohio Other PHAR1918
Ohio MEDICAID 300033160
Ohio MEDICAID VS0172399
Ohio Other 054.021498
Ohio Other 12766690-1708
Ohio Other A9-0012676
Ohio Other IN2605
Ohio Other PHA-MOP-LIC-84404
Ohio Other RP-0003705
Ohio Other 14929
Ohio Other 266265
Ohio Other MO40003141
Ohio Other NR-51935
Ohio Other NR5450
Ohio MEDICAID 008107334
Ohio Other 036.0134601
Ohio Other 038275
Ohio MEDICAID 103759236
Ohio Other 400-2266
Ohio Other 58582MS
Ohio Other NR2270
Ohio Other OSP.0007488
Ohio Other PCN.0003825
Ohio Other NP001573
Ohio Other PH0005403
Ohio Other PH33336
Ohio Other Y008405
Ohio Other 193819
Ohio Other 28RO00224700
Ohio Other MO0561538
Ohio Other 0214002479
Ohio Other 0240000154
Ohio Other 2021001793
Ohio MEDICAID 202190019
Ohio Other 5301012447
Ohio Other 60006758A
Ohio Other PHNR001945

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