TRINITY PHARMACY NPI 1710040613

NPI Information

  • NPI: 1710040613
  • Provider Name: TRINITY PHARMACY
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Address: 520 E. DOUGLAS
    TYLER, TX
    ZIP 75702
  • Phone: (903) 526-3784

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NPI Details

TRINITY PHARMACY is a clinic pharmacy pharmacy in Tyler, TX. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. TRINITY PHARMACY NPI is 1710040613. The provider is registered as an organization entity type.

The provider's business location address is:

520 E. DOUGLAS
TYLER, TX
ZIP 75702-936
Phone: (903) 526-3784

The provider's authorized official is Alex Hyuk Park .
The authorized official title is Manager and has the following contact phone number (903) 526-3784.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 2/25/2008.

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
13336C0002XPharmacyClinic Pharmacy24082TEXASYes

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
1145536MEDICAIDTEXAS

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: 11/21/2025

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