Active NPI
Bridget Elizabeth Thomas, PHARM D
- Pharmacist
- Old Forge, PA
National Provider Identifier
1114216967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP045179L
- Practice address
- 401-403 Main St
Old Forge, PA 18518 - Phone
- (570) 457-0844
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- 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 | RP045179L | PA | Primary |
Addresses
Primary practice location
401-403 Main St
Old Forge, PA 18518
Mailing address
640 Gibbons St
Scranton, PA 18505-3333
Phone (570) 909-9052
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 |
|---|---|---|---|
| RP045179L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1114216967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 GIBBONS ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185053333",
"telephone_number": "570-909-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401-403 MAIN ST",
"city": "OLD FORGE",
"state": "PA",
"postal_code": "18518",
"telephone_number": "570-457-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BRIDGET",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2011-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045179L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Forge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.