Active NPI
Thomas Franklin Sloan
- Pharmacist
- Tupelo, MS
National Provider Identifier
1053911222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- T-08423
- Practice address
- 3929 N Gloster St
Tupelo, MS 38804-0915 - Phone
- (662) 840-5546
- Fax
- (662) 840-8379
- NPI assigned
- Oct 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | T-08423 | MS | Primary |
| Pharmacist | 183500000X | 2000165337 | MO |
Addresses
Primary practice location
3929 N Gloster St
Tupelo, MS 38804-0915
Mailing address
121 Garden Park Dr
Saltillo, MS 38866-6863
Phone (662) 687-0804
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000165337 | MO | MD | Pharmacist |
| T-08423 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1053911222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 GARDEN PARK DR",
"city": "SALTILLO",
"state": "MS",
"postal_code": "388666863",
"telephone_number": "662-687-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 N GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388040915",
"telephone_number": "662-840-5546",
"fax_number": "662-840-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "THOMAS",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "T-08423",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2000165337",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.