Provider Demographics
NPI:1588273684
Name:TRINITY PHARMACY LLC
Entity type:Organization
Organization Name:TRINITY PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:ZORA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-776-8210
Mailing Address - Street 1:2797 S MARYLAND PKWY STE 28
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1576
Mailing Address - Country:US
Mailing Address - Phone:702-776-8210
Mailing Address - Fax:702-776-7195
Practice Address - Street 1:2797 S MARYLAND PKWY STE 28
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1576
Practice Address - Country:US
Practice Address - Phone:702-776-8210
Practice Address - Fax:702-776-7195
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-24
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1144619362Medicaid