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HOLY TRINITY PHARMACY, LTC LLC
NPI 1265017685
Pharmacy - Long Term Care Pharmacy in Trinity, FL

Active since March 17, 2021
10900 STATE ROAD 54 STE 102B, TRINITY, FL 34655(727) 312-4384(727) 312-4605 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Feb 19, 2022, Mar 17, 2021 (3 updates tracked since 2021).

About Holy Trinity Pharmacy, Ltc Llc NPPES

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

HOLY TRINITY PHARMACY, LTC LLC (NPI 1265017685) is a healthcare organization registered as a long term care pharmacy in Trinity, Florida and active in the NPI registry since March 2021. The organization lists Nancy Samir Awad, Owner, as its authorized official.

NPPES Registry Identity

NPI1265017685
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameHOLY TRINITY PHARMACY LTC LLC
Location Address10900 STATE ROAD 54 STE 102BTrinity, FL 34655-2267
Mailing Address10900 State Road 54 Ste 102bTrinity, FL 34655-2267 · (727) 312-4384 · Fax (727) 312-4605
Phone(727) 312-4384
Fax(727) 312-4605
Organization SubpartNo
Authorized OfficialNancy Samir AwadOwner · (727) 312-4384
Enumeration DateMarch 17, 2021
Last NPPES UpdateMay 18, 20223 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1265017685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
10900 STATE ROAD 54 STE 102B, Trinity, FL 34655
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Other Names 2

Doing Business AsHoly Trinity Pharmacy, Ltc Llc
Doing Business AsHoly Trinity Pharmacy Ltc Llc

Other Identifiers 1

Medicaid105889100FL

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 10D2189489

Holy Trinity Pharmacy LLC · Trinity, FL
Expired · Jul 30, 2026
CLIA Number10D2189489
Laboratory TypePharmacy
Certificate Effective DateJuly 31, 2024
Certificate Expiration DateJuly 30, 2026
Laboratory DirectorNancy Awad
Laboratory Phone(727) 312-4384
Laboratory LocationHoly Trinity Pharmacy LLC10900 State Rd 54 - Ste 102, Trinity, FL 34655
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Holy Trinity Pharmacy Ltc LLC's NPI number?

The NPI number for Holy Trinity Pharmacy Ltc LLC is 1265017685. It was assigned to this organization in the NPPES registry on March 17, 2021. The provider is doing business as Holy Trinity Pharmacy, Ltc LLC.

Where is Holy Trinity Pharmacy Ltc LLC located?

Holy Trinity Pharmacy Ltc LLC is located at 10900 State Road 54 Ste 102B, Trinity, FL 34655. The listed phone number is (727) 312-4384.

What is Holy Trinity Pharmacy Ltc LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Holy Trinity Pharmacy Ltc 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 43 other insurers list Holy Trinity Pharmacy Ltc 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 Holy Trinity Pharmacy Ltc LLC was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.