Organization Active NPI

Thomas Pharmacy Gardiner Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Laurel, MS
National Provider Identifier
1134473234
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
11692/11.1 Issued in MS
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thomas Pharmacy Gardiner Center LLC2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.