Healthcare Provider Details

I. General information

NPI: 1619309127
Provider Name (Legal Business Name): TRIO PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 CLEVELAND AVE
COLUMBUS OH
43211-2755
US

IV. Provider business mailing address

1570 CLEVELAND AVE
COLUMBUS OH
43211-2755
US

V. Phone/Fax

Practice location:
  • Phone: 614-298-8180
  • Fax: 614-298-8184
Mailing address:
  • Phone: 614-298-8180
  • Fax: 614-298-8184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number022325800
License Number StateOH

VIII. Authorized Official

Name: MRS. IJEOMA P NNANI
Title or Position: CEO
Credential:
Phone: 614-298-8180