Active NPI
Santhosh Thomas
- Pharmacist
- Valrico, FL
National Provider Identifier
1073905394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38247
- Practice address
- 2535 E State Road 60
Valrico, FL 33594-3830 - Phone
- (813) 657-4987
- NPI assigned
- Feb 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS38247 | FL | Primary |
Addresses
Primary practice location
2535 E State Road 60
Valrico, FL 33594-3830
Mailing address
2704 Durant Trails Blvd
Dover, FL 33527-6449
Phone (813) 689-3830
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 |
|---|---|---|---|
| PS38247 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1073905394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 DURANT TRAILS BLVD",
"city": "DOVER",
"state": "FL",
"postal_code": "335276449",
"telephone_number": "813-689-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 E STATE ROAD 60",
"city": "VALRICO",
"state": "FL",
"postal_code": "335943830",
"telephone_number": "813-657-4987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SANTHOSH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.