Active NPI
Thomas Breeden, PHARM.D.
- Ambulatory Care Pharmacist
- Grand Blanc, MI
National Provider Identifier
1093248981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 5302041223
- Practice address
- 3399 Pollock Rd
Grand Blanc, MI 48439-8395 - Phone
- (810) 606-7550
- Fax
- (810) 606-6235
- NPI assigned
- Apr 6, 2017
- Last updated
- Jul 14, 2026
- 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 | 5302041223 | MI | |
| Ambulatory Care Pharmacist | 1835P2201X | 5302041223 | MI | Primary |
Addresses
Primary practice location
3399 Pollock Rd
Grand Blanc, MI 48439-8395
Mailing address
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 931-1761
Other practice location 1
1460 N Center Rd
Burton, MI 48509-1429
Phone (810) 715-4300
Other practice location 2
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 931-1761
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302041223 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1093248981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398065",
"telephone_number": "810-931-1761",
"fax_number": "810-606-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3399 POLLOCK RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398395",
"telephone_number": "810-606-7550",
"fax_number": "810-606-6235"
}
],
"practiceLocations": [
{
"address_1": "1460 N Center Rd",
"address_purpose": "LOCATION",
"city": "Burton",
"state": "MI",
"postal_code": "485091429",
"country_code": "US",
"telephone_number": "810-715-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Genesys Pkwy",
"address_purpose": "LOCATION",
"city": "Grand Blanc",
"state": "MI",
"postal_code": "484398065",
"country_code": "US",
"telephone_number": "810-931-1761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREEDEN",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302041223",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MI",
"license": "5302041223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.