Organization Active NPI

Thompson Enterprises, Inc.

  • Community/Retail Pharmacy
  • Altoona, PA
National Provider Identifier
1003857228
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412570L Issued in PA
Legal business name
THOMPSON ENTERPRISES, INC.
Practice address
602 E Chestnut Ave
Altoona, PA 16601-5216
Phone
(814) 944-6139
Fax
(814) 942-1052
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William Donnelly Thompson III, R.PH.
Title
President/Owner
Phone
(814) 944-6139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP412570L PA Primary

Addresses

Primary practice location

602 E Chestnut Ave
Altoona, PA 16601-5216

Mailing address

600 E Chestnut Ave
Altoona, PA 16601-5216
Phone (814) 944-6139

Other identifiers 1

IdentifierTypeStateIssuer
1007648870002MedicaidPA

Other names 1

  • THOMPSON PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930072164 PA DME Supplier - Pharmacy 3173641966 Practice locations: Altoona, PA
O20130102000084 PA Part B Supplier - Mass Immunization (Roster Biller Only) 3173641966 Practice locations: Altoona, PA

National Provider Directory

National Provider Directory
Tax ID family
Thompson Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

602 E Chestnut Ave
Altoona, PA 16601
Phone (814) 943-1310

1118 12th St
Altoona, PA 16601
Phone (814) 944-5033

600 E Chestnut Ave
Altoona, PA 16601
Phone (814) 944-5837

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1003857228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015216",
            "telephone_number": "814-944-6139",
            "fax_number": "814-942-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015216",
            "telephone_number": "814-944-6139",
            "fax_number": "814-942-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DONNELLY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "814-944-6139",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412570L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007648870002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMPSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THOMPSON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.