Active NPI
Thomas Andrew Barry, RPH
- Pharmacist
- Goose Creek, SC
National Provider Identifier
1124376090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11735
- Practice address
- 9 Corporate Pkwy
Goose Creek, SC 29445-7145 - Phone
- (843) 572-3237
- NPI assigned
- Aug 26, 2012
- Last updated
- Aug 26, 2012
- 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 | 11735 | SC | Primary |
Addresses
Primary practice location
9 Corporate Pkwy
Goose Creek, SC 29445-7145
Mailing address
2160 Summerwood Dr
Mount Pleasant, SC 29466-9256
Phone (843) 388-5019
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 |
|---|---|---|---|
| 11735 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345939200000",
"number": "1124376090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 SUMMERWOOD DR",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294669256",
"telephone_number": "843-388-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CORPORATE PKWY",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457145",
"telephone_number": "843-572-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "THOMAS",
"middle_name": "ANDREW",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-26",
"last_updated": "2012-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.