TRINITY COMPOUNDING PHARMACY (NPI# 1154414597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154414597 |
| Entity Type | Organization |
| Organization Name | TRINITY COMPOUNDING PHARMACY |
| Other Organization Name | BROADWAY APOTHECARY |
| Practice Address |
1515 Oak St Eugene OR 97401-4790 |
| Practice Telephone | 5416849352 |
| Practice Fax Number | 5416840858 |
| Mailing Telephone | 5416849352 |
| Mailing Fax Number | 5416840858 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ANNE HARTHMAN (CHIEF CLINICAL OFFICER, PIC) |
| Authorized Official Telephone | 5416849352 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PMP-792 | HI | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP-0001564 | OR | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHNR.FO.60312318 | WA | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
PHAO1179 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1581038 | 05 | |
| OR | 227829 | 05 | |
| WA | 2096620 | 05 | |
| PK | 2079479 | 01 |
| Other Name | Type Code |
|---|---|
| BROADWAY APOTHECARY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TRINITY COMPOUNDING PHARMACY, INC. | 1515 Oak St, Eugene, OR 97401 |
| Washington State Corporations | TRINITY COMPOUNDING PHARMACY, INC. | 1515 Oak St, Eugene, OR 97401-4790 |
| Street Address |
1515 OAK ST |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801308689 | Anthony Tran | Pharmacist | 1515 Oak St, Eugene, OR 97401-4790 | 2017-11-01 |
| 1396254819 | Anne Elizabeth Harthman | Pharmacist | 1515 Oak St, Eugene, OR 97401-4790 | 2017-09-27 |
| 1295111508 | Pauline Tran | Pharmacist | 1515 Oak St, Eugene, OR 97401-4790 | 2015-08-10 |
| 1952672644 | Katie Dawn James | Pharmacist | 1515 Oak St, Eugene, OR 97401-4008 | 2012-01-26 |
| 1245512995 | Heather Marie Pedersen | Pharmacist | 1515 Oak St, Eugene, OR 97401-4790 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| 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. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174838635 | Nw Pharmaceutical Compounding, Inc | Pharmacy | 935 Willagillespie Rd, Suite B, Eugene, OR 97401-2106 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1922536606 | Pharmacy Acquisition Co., LLC | Pharmacy | 1286 Se Holgate Blvd # C-2, Portland, OR 97202-5053 | 2017-05-25 |
| 1023483823 | Central Oregon Pharmacy and Compounding | Pharmacy | 655 Nw Greenwood Ave Ste 1, Redmond, OR 97756-1672 | 2015-12-04 |
| 1124423793 | Cascade Compounding Center LLC | Pharmacy | 19550 Amber Meadow Dr, Suite 170, Bend, OR 97702-3525 | 2014-10-25 |
| 1841606662 | Redmond Long Term Care Pharmacy LLC | Pharmacy | 424 Nw 5th St Ste A, Redmond, OR 97756-1627 | 2014-07-02 |
| 1114274289 | Precision Compounds, LLC | Pharmacy | 9363 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3360 | 2012-08-08 |
| 1922284751 | Oregon Compounding Centers, Inc. | Pharmacy | 8560 Sw Salish Ln Ste 100, Wilsonville, OR 97070-9625 | 2008-01-10 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| 1356555460 | Highland Park Pharmacy LLC | Pharmacy | 424 Nw 5th St, Redmond, OR 97756 | 2007-05-09 |
| 1578785119 | Pacific Compounds Pharmacy LLC | Pharmacy | 327 Se 3rd Ave, Hillsboro, OR 97123-4001 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.