Organization Active NPI

F B Thomas Drug Store Inc

Doing business as Thomas Drug Store

  • Community/Retail Pharmacy
  • Meyersdale, PA
National Provider Identifier
1073672150
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
F B THOMAS DRUG STORE INC
Doing business as
Thomas Drug Store
Practice address
327 Main St
Meyersdale, PA 15552-1035
Phone
(814) 634-8614
NPI assigned
Dec 6, 2006
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Mr. Andrew Thomas, R. PH.NPI 1295758852
Title
President
Phone
(814) 634-8614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

327 Main St
Meyersdale, PA 15552-1035

Mailing address

327 Main St
Meyersdale, PA 15552-1035
Phone (814) 634-8614

Other identifiers 2

IdentifierTypeStateIssuer
3911319OtherPANCPDP
0008198010003MedicaidPA

Other names 1

  • Thomas Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930053351 PA DME Supplier - Pharmacy 9133240757 1 other NPI on this enrollment
Practice locations: Meyersdale, PA
O20190812003157 PA Part B Supplier - Pharmacy 9133240757 Practice locations: Meyersdale, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
F B Thomas Drug Store I3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1073672150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MAIN ST",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155521035",
            "telephone_number": "814-634-8614",
            "fax_number": "814-634-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MAIN ST",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155521035",
            "telephone_number": "814-634-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F B THOMAS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-634-8614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3911319",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008198010003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomas Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meyersdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.