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TRIDENT MEDICAL GROUP
NPI 1124854922
Pharmacy - Managed Care Organization Pharmacy in Atlanta, GA

Active since September 10, 2024
888 OAKDALE RD NE, ATLANTA, GA 30307(678) 997-9895 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Trident Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRIDENT MEDICAL GROUP (NPI 1124854922) is a healthcare organization registered as a managed care organization pharmacy in Atlanta, Georgia and active in the NPI registry since September 2024. The organization lists Kathryn Duphily, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1124854922
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameTRIDENT MEDICAL GROUP
Location Address888 OAKDALE RD NEAtlanta, GA 30307-1210
Mailing Address888 Oakdale Rd NeAtlanta, GA 30307-1210 · (678) 997-9895
Phone(678) 997-9895
Organization SubpartNo
Authorized OfficialKathryn DuphilyOperations Manager · (678) 997-9895
Enumeration DateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1124854922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers
Taxonomy Code3336M0003X
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
888 OAKDALE RD NE, Atlanta, GA 30307
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trident Medical Group's NPI number?

The NPI number for Trident Medical Group is 1124854922. It was assigned to this organization in the NPPES registry on September 10, 2024.

Where is Trident Medical Group located?

Trident Medical Group is located at 888 Oakdale Rd NE, Atlanta, GA 30307. The listed phone number is (678) 997-9895.

What is Trident Medical Group's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Managed Care Organization Pharmacy, with taxonomy code 3336M0003X.

When was this NPI record last updated?

The NPPES record for Trident Medical Group was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.