Organization Active NPI

R Thomas Bartholomew

Doing business as Faulkton Drug

  • Pharmacist
  • Faulkton, SD
National Provider Identifier
1104931146
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1000009 Issued in SD
Legal business name
R THOMAS BARTHOLOMEW
Doing business as
Faulkton Drug
Practice address
118 8TH Ave S
Faulkton, SD 57438-2115
Phone
(605) 598-4187
Fax
(605) 598-6772
NPI assigned
Aug 20, 2006
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Robert Thomas Bartholomew
Title
Owner Pharmacist
Phone
(605) 598-4187

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Pharmacist 183500000X 1000009 SD Primary
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X 1000009 SD

Addresses

Primary practice location

118 8TH Ave S
Faulkton, SD 57438-2115

Mailing address

PO Box 70
Faulkton, SD 57438-0070
Phone (605) 598-4187

Other identifiers 3

IdentifierTypeStateIssuer
4301280OtherOTHER ID NUMBER
8501540MedicaidSD
4301280OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Faulkton Drug Doing business as

National Provider Directory

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1104931146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "FAULKTON",
            "state": "SD",
            "postal_code": "574380070",
            "telephone_number": "605-598-4187",
            "fax_number": "605-598-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 8TH AVE S",
            "city": "FAULKTON",
            "state": "SD",
            "postal_code": "574382115",
            "telephone_number": "605-598-4187",
            "fax_number": "605-598-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R THOMAS BARTHOLOMEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "605-598-4187"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "1000009",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "SD",
            "license": "1000009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4301280",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8501540",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4301280",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faulkton Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Faulkton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.