Organization Active NPI

Thompson Drug South, Inc.

  • Community/Retail Pharmacy
  • London, KY
National Provider Identifier
1023120508
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P06392 Issued in KY
Legal business name
THOMPSON DRUG SOUTH, INC.
Practice address
975 S Laurel Rd Ste a
London, KY 40744-7862
Phone
(606) 864-6324
Fax
(606) 877-9634
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Mr. Randy Price Windham, R.PH.NPI 1457577454
Title
Vice President
Phone
(606) 864-6324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 008633 KY
Durable Medical Equipment & Medical Supplies 332B00000X 4505240001 KY
Community/Retail Pharmacy 3336C0003X P06392 KY Primary

Addresses

Primary practice location

975 S Laurel Rd Ste a
London, KY 40744-7862

Mailing address

975 S Laurel Rd Ste a
London, KY 40744-7862
Phone (606) 864-6324

Other identifiers 2

IdentifierTypeStateIssuer
54033766MedicaidKY
90200668MedicaidKY

Other names 1

  • Thompson Drug South Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121101000552 KY DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 6204086077 Practice locations: London, KY
O20131022000925 KY Part B Supplier - Mass Immunization (Roster Biller Only) 6204086077 Practice locations: London, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2137831Thompson Drug South975A South Laurel Road, London, KY 40744Certificate of waiverOct 16, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Thompson Durg South, Inc.975 S Laurel Rd, London, KY 40744-7862(606) 864-6324 Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Sep 21, 2012

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

975 S Laurel Rd
Ste A
London, KY 40744
Phone (606) 864-6324

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1023120508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 S LAUREL RD STE A",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407447862",
            "telephone_number": "606-864-6324",
            "fax_number": "606-877-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S LAUREL RD STE A",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407447862",
            "telephone_number": "606-864-6324",
            "fax_number": "606-877-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON DRUG SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "WINDHAM",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "606-864-6324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "008633",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "4505240001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54033766",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90200668",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thompson Drug South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.