Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRITENN LLC
NPI 1194812446
Pharmacy - Community/Retail Pharmacy in Johnson City, TN

Q: What is Tritenn LLC's NPI number?

The NPI number for Tritenn LLC is 1194812446. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider is doing business as Gray Pharmacy and Tri-Cities Pharmacy of Gray.

Q: What is Tritenn LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Tritenn LLC was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.

Active since October 06, 2006

208 SUNCREST ST UNIT 1, JOHNSON CITY, TN 37615(423) 477-3847(423) 477-4392 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2026, Apr 30, 2026, Mar 8, 2026 and 2 more (5 updates tracked since 2017).

On this page

About Tritenn Llc NPPES

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

TRITENN LLC (NPI 1194812446), doing business as Gray Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Johnson City, Tennessee and active in the NPI registry since October 2006. The organization lists Jordon Thomas Baker, Ceo / Co-owner, as its authorized official.

NPPES Registry Identity

NPI1194812446

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameTRITENN LLC

Location Address208 SUNCREST ST UNIT 1Johnson City, TN 37615-3494

Mailing Address208 Suncrest St Unit 1Johnson City, TN 37615-3494 · (423) 477-3847 · Fax (423) 477-4392

Phone(423) 477-3847

Fax(423) 477-4392

Organization SubpartNo

Authorized OfficialJordon Thomas BakerCeo / Co-owner · (423) 772-3591

Enumeration DateOctober 6, 2006

Last NPPES UpdateJuly 11, 20265 updates tracked since enumeration

NPPES CertifiedJuly 11, 2026

✔ NPI 1194812446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in TN · C001007

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

208 SUNCREST ST UNIT 1, Johnson City, TN 37615

Open in Google Maps ↗

Other Names 2

Doing Business AsGray Pharmacy

Doing Business AsTri-cities Pharmacy Of Gray

Other Identifiers 1

Medicaid3539406TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2151971

Tritenn LLC Dba Gray Pharmacy · Gray, TN

Expired · Jul 30, 2026

CLIA Number44D2151971

Laboratory TypePharmacy

Certificate Effective DateJuly 31, 2024

Certificate Expiration DateJuly 30, 2026

Laboratory DirectorClayton F. Kilgore

Laboratory Phone(423) 477-3847

Laboratory LocationTritenn LLC Dba Gray Pharmacy208 Suncrest Drive, Gray, TN 37615

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM MACHENZIE RASNICK PHARMD

Pharmacist

208 SUNCREST ST UNIT 1
GRAY, TN 37615

Washington County (423) 477-3847

CLAYTON KILGORE PHARMD

Pharmacist

208 SUNCREST ST UNIT 1
GRAY, TN 37615

Washington County (423) 477-3847

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 Tritenn LLC's NPI number?

The NPI number for Tritenn LLC is 1194812446. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider is doing business as Gray Pharmacy and Tri-Cities Pharmacy of Gray.

Where is Tritenn LLC located?

Tritenn LLC is located at 208 Suncrest St Unit 1, Johnson City, TN 37615. The listed phone number is (423) 477-3847.

What is Tritenn LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Tritenn LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 other insurers list Tritenn LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tritenn LLC was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.