Tara Thompson, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH026786 Issued in GA

Practice address

6095 Pine Mountain Rd NW Ste 108
Kennesaw, GA 30152-3332

Phone

(770) 421-1399

NPI assigned

Aug 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Innovation Compounding Pharmacy, LLC

  • Pharmacy
  • Kennesaw, GA
  • NPI 1710157342
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1013434521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 PINE MOUNTAIN RD NW STE 108",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 PINE MOUNTAIN RD NW STE 108",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523332",
            "telephone_number": "770-421-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TARA",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Rachel Thomason, DPT
• Connor Randall Thompson
• Evan Michael Thompson, NURSE PRACTITIONER
• Jennifer Lynn Thompson, LPC
• Jordan Thompson, CAA
• Tara Thompson, LMT,CD,CBE,CPD
• John Taylor Thornhill, D.C.
• Claire Elizabeth Worthy Thornton, D.M.D.
• Isaiah Thornton
• Mia Thorp

• Pharmacist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.