Provider Type Icon

TRINITY COMPOUNDING PHARMACY NPI 1154414597


NPI Information

NPI: 1154414597
Provider Name: TRINITY COMPOUNDING PHARMACY

Doing Business As: BROADWAY APOTHECARY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
1515 OAK ST
EUGENE, OR
ZIP 97401
Phone: (541) 684-9352
Get Directions

TRINITY COMPOUNDING PHARMACY is a compounding pharmacy pharmacy in Eugene, OR. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. TRINITY COMPOUNDING PHARMACY NPI is 1154414597. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadway Apothecary.

The provider's business location address is:

1515 OAK ST
EUGENE, OR
ZIP 97401-790
Phone: (541) 684-9352
Fax: (541) 684-0858

The provider's authorized official is Anne Harthman .
The authorized official title is Chief Clinical Officer, Pic and has the following contact phone number (541) 684-9352.

The enumeration date for this NPI number is 9/30/2006 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPMP-792HAWAIINo
23336C0003XPharmacyCommunity/Retail PharmacyRP-0001564OREGONNo
33336C0004XPharmacyCompounding PharmacyPHNR.FO.60312318WASHINGTONNo
43336C0004XPharmacyCompounding PharmacyPHAO1179ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12096620MEDICAIDWASHINGTON
21581038MEDICAIDALASKA
32079479OTHERPK
4227829MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.