Individual provider Active NPI

Tommy Ralph Thompson, PHARMD. BCNP

  • Nuclear Pharmacist
  • Roseville, CA
National Provider Identifier
1104145671
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacistTaxonomy code 1835N0905X
License
53565 Issued in CA
Practice address
4004 Foothills
Roseville, CA 95747
Phone
(916) 786-8671
Fax
(916) 786-0399
NPI assigned
May 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Pharmacist 1835N0905X 53565 CA Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 53565 CA

Addresses

Primary practice location

4004 Foothills
Roseville, CA 95747

Mailing address

1828 Tribute Rd
Suite a-E
Sacramento, CA 95815-4310
Phone (916) 648-3334

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

LicenseStateTypeSpecialty
53565CAMDNuclear Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1104145671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 TRIBUTE RD",
            "address_2": "SUITE A-E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154310",
            "telephone_number": "916-648-3334",
            "fax_number": "916-648-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 FOOTHILLS",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95747",
            "telephone_number": "916-786-8671",
            "fax_number": "916-786-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TOMMY",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "PHARMD. BCNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "CA",
            "license": "53565",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "53565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.