Timothy W. Thompson, PHARMACIST
Individual provider Active NPI Pharmacist · Trion, GA
NPI 1124233416 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1124233416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH013579 (GA)
- Practice address
- 49 Harrell St.
Trion, GA 30753 - Phone
- (706) 734-2481
- Fax
- (706) 734-7787
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH013579 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH013579 | GA | Yes |
Addresses
Primary practice location
49 Harrell St.
Trion, GA 30753
Mailing address
49 Harrell St.
Trion, GA 30753
Phone (706) 734-2481
Other providers in Trion, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.