Thomas M Boone-Abraham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

021492 Issued in KY

Practice address

538 Lone Oak Rd
Paducah, KY 42003-4538

Phone

(270) 443-8855

NPI assigned

Dec 4, 2020

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Kentucky CVS Pharmacy, L.L.C.

  dba CVS Pharmacy # 06376

  • Pharmacy
  • Paducah, KY
  • NPI 1841393584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1134725286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034538",
            "telephone_number": "270-443-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE-ABRAHAM",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.303594",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "021492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bon Secours Mercy Health Virtual Care LLC (Mercy Health - Virtual Care)
• Christi L Bonds, MD
• Marinena Bondurant, R.PH.
• Sherry Bone, LPP
• Whitny J Booher
• Madison Boone, PT, DPT
• Ted Borodofsky, M.D.
• Sanjay Bose, MD
• Macey E Boutwell
• Natalie Boward

• Pharmacist in Paducah, KY
• Providers in Paducah, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.