Active NPI
Thomas Pharmacy Gardiner Center, LLC
- Durable Medical Equipment & Medical Supplies
- Laurel, MS
National Provider Identifier
1134473234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 11692/11.1
- Legal business name
- THOMAS PHARMACY GARDINER CENTER, LLC
- Doing business as
- Thomas Pharmacy Medical Supply
- Practice address
- 733 Limbert St
Laurel, MS 39440-5246 - Phone
- (601) 342-2273
- Fax
- (601) 651-6125
- NPI assigned
- Oct 29, 2012
- Organization subpart
- Yes
- Parent organization
- THOMAS PHARMACY GARDINER CENTER, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Eugene Thomas, RPH
- Title
- Owner
- Phone
- (601) 428-5977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 11692/11.1 | MS | Primary |
Addresses
Primary practice location
733 Limbert St
Laurel, MS 39440-5246
Mailing address
PO Box 4111
170 Beacon Street
Laurel, MS 39441-4111
Phone (601) 428-5977
Other names 1
- Thomas Pharmacy Medical Supply
National Provider Directory
National Provider Directory- Tax ID family
- Thomas Pharmacy Gardiner Center LLC
- Part of
- Thomas Pharmacy Gardiner Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Laurel, MS
- NPI 1831410638
Locations
733 Limbert St
Laurel, MS 39440
Phone (601) 342-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480550400000",
"number": "1134473234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4111",
"address_2": "170 BEACON STREET",
"city": "LAUREL",
"state": "MS",
"postal_code": "394414111",
"telephone_number": "601-428-5977",
"fax_number": "601-518-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 LIMBERT ST",
"city": "LAUREL",
"state": "MS",
"postal_code": "394405246",
"telephone_number": "601-342-2273",
"fax_number": "601-651-6125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS PHARMACY GARDINER CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THOMAS PHARMACY GARDINER CENTER, LLC",
"enumeration_date": "2012-10-29",
"last_updated": "2016-12-01",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-428-5977",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "11692/11.1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thomas Pharmacy Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.