Active NPI
Thompson Drug South, Inc.
- Community/Retail Pharmacy
- London, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P06392
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54033766 | Medicaid | KY | |
| 90200668 | Medicaid | KY |
Other names 1
- Thompson Drug South
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121101000552 | KY | DME Supplier - Pharmacy | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2137831 | Thompson Drug South | Certificate of waiver | Oct 16, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Thompson Durg South, Inc. | Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryMember 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.
-
- Pharmacist
- London, KY
- NPI 1457577454
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.