Active NPI
Thomas Michael Isaacs, RPH
- Pharmacist
- Lexington, KY
National Provider Identifier
1104119890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7009
- Practice address
- 130 W. Loudon Ave
Lexington, KY 40508 - Phone
- (859) 281-9660
- Fax
- (859) 281-6627
- NPI assigned
- May 27, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 7009 | KY | Primary |
Addresses
Primary practice location
130 W. Loudon Ave
Lexington, KY 40508
Mailing address
130 W. Loudon Ave
Lexington, KY 40508
Phone (859) 281-9660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7009 | Other | KY | PHARMACIST LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7009 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1104119890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W. LOUDON AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40508",
"telephone_number": "859-281-9660",
"fax_number": "859-281-6627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W. LOUDON AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "40508",
"telephone_number": "859-281-9660",
"fax_number": "859-281-6627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-27",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "7009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "7009",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.