Individual provider Active NPI

Kelsey Thompson, PHARM.D

  • Pharmacist
  • Warrendale, PA
National Provider Identifier
1033548706
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP446790 Issued in PA
Practice address
40 Pennwood PL
Suite 300
Warrendale, PA 15086-6512
Phone
(855) 779-4720
Fax
(855) 779-4721
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446790 PA Primary
Pharmacist 183500000X PS50381 FL
Pharmacist 183500000X 016540 KY
Pharmacist 183500000X PST.020089 LA
Pharmacist 183500000X PH234529 MA
Pharmacist 183500000X P12786 MS
Pharmacist 183500000X 14193 NE
Pharmacist 183500000X RPH-0013565 OR
Pharmacist 183500000X 37194 TN

Addresses

Primary practice location

40 Pennwood PL
Suite 300
Warrendale, PA 15086-6512

Mailing address

40 Pennwood PL
Suite 300
Warrendale, PA 15086-6512
Phone (855) 779-4720

Other identifiers 1

IdentifierTypeStateIssuer
RP446790OtherPABOARD OF PHARMACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS50381FLMDPharmacist
016540KYMDPharmacist
PST.020089LAMDPharmacist
PH234529MAMDPharmacist
P12786MSMDPharmacist
14193NEMDPharmacist
RPH-0013565ORMDPharmacist
RP446790PAMDPharmacist
37194TNMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1033548706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PENNWOOD PL",
            "address_2": "SUITE 300",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150866512",
            "telephone_number": "855-779-4720",
            "fax_number": "855-779-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PENNWOOD PL",
            "address_2": "SUITE 300",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150866512",
            "telephone_number": "855-779-4720",
            "fax_number": "855-779-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELSEY",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446790",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50381",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "016540",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.020089",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH234529",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "P12786",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "14193",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0013565",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "37194",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "RP446790",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrendale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.