TRILLIUM HEALTH CARE INC NPI 1790100642

NPI Information

NPI: 1790100642
Provider Name: TRILLIUM HEALTH CARE INC

Doing Business As: TRILLIUM PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
239 S JUNIPER ST
ESCONDIDO, CA
ZIP 92025
Phone: (760) 480-4080
Get Directions

TRILLIUM HEALTH CARE INC is a community/retail pharmacy pharmacy in Escondido, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TRILLIUM HEALTH CARE INC NPI is 1790100642. The provider is registered as an organization entity type.
The provider Is Doing Business As Trillium Pharmacy.

The provider's business location address is:

239 S JUNIPER ST
ESCONDIDO, CA
ZIP 92025-220
Phone: (760) 480-4080
Fax: (760) 480-4081

The provider's authorized official is Mina Botros .
The authorized official title is Officer and has the following contact phone number (818) 919-9723.

The enumeration date for this NPI number is 3/3/2014 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			No
4	332B00000X	Durable Medical Equipment & Medical Supplies				No
5	3336M0002X	Pharmacy	Mail Order Pharmacy			No
6	333600000X	Pharmacy				No
7	3336C0004X	Pharmacy	Compounding Pharmacy			No
8	3336L0003X	Pharmacy	Long Term Care Pharmacy			No
9	3336S0011X	Pharmacy	Specialty Pharmacy			No
10	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHY51813	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790100642	MEDICAID	CALIFORNIA
2	2144543	OTHER		PK

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: 4/28/2024

NPI Synchronization or Removal

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