Active NPI
Tintu Thomas, PHARMD
- Pharmacist
- Bardonia, NY
National Provider Identifier
1164060349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065110-1
- Practice address
- 167 Route 304
Bardonia, NY 10954-2050 - Phone
- (845) 624-8080
- NPI assigned
- Dec 18, 2019
- Last updated
- Dec 18, 2019
- Sex
- Female
- 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 | 065110-1 | NY | Primary |
Addresses
Primary practice location
167 Route 304
Bardonia, NY 10954-2050
Mailing address
3 Deltic Rd
New City, NY 10956-7203
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065110-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1164060349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 DELTIC RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109567203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 ROUTE 304",
"city": "BARDONIA",
"state": "NY",
"postal_code": "109542050",
"telephone_number": "845-624-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TINTU",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065110-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bardonia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.