Provider Demographics
NPI:1952630840
Name:TRIPLEFIN LLC
Entity Type:Organization
Organization Name:TRIPLEFIN LLC
Other - Org Name:TRIPLEFIN SPECIALTY SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CCO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPOLD
Authorized Official - Suffix:
Authorized Official - Credentials:BS PHARMACY
Authorized Official - Phone:513-386-6460
Mailing Address - Street 1:11333 CORNELL PARK DR
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-1813
Mailing Address - Country:US
Mailing Address - Phone:877-854-3060
Mailing Address - Fax:877-788-4942
Practice Address - Street 1:6000 CREEK RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-4024
Practice Address - Country:US
Practice Address - Phone:877-854-3060
Practice Address - Fax:877-788-4942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336M0002X, 3336S0011X
OHMOP0220037503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0057075Medicaid
2123311OtherPK