Tommy Lester Thompson, PHARMACIST – Pharmacist

Key facts

NPI: 1144435355
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: RPH009748 (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
RPH009748	GA	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	RPH009748	GA	Yes

Addresses

Primary practice location

49 Harrell St
Trion, GA 30753

Mailing address

49 Harrell St
Trion, GA 30753
Phone (706) 734-2481

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144435355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HARRELL ST",
            "city": "TRION",
            "state": "GA",
            "postal_code": "30753",
            "telephone_number": "706-734-2481",
            "fax_number": "706-734-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HARRELL ST",
            "city": "TRION",
            "state": "GA",
            "postal_code": "30753",
            "telephone_number": "706-734-2481",
            "fax_number": "706-734-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TOMMY",
        "middle_name": "LESTER",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trion, GA

All providers in Trion, GA · Pharmacist in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.