Active NPI
Thompson Pharmacy Inc
- Community/Retail Pharmacy
- Traverse City, MI
National Provider Identifier
1174502983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301000600
- Legal business name
- THOMPSON PHARMACY INC
- Practice address
- 324 S Union St
Traverse City, MI 49684-2535 - Phone
- (231) 947-4212
- Fax
- (231) 947-0301
- NPI assigned
- Jan 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Thompson, RPH
- Title
- VP
- Phone
- (231) 947-8700
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301000600 | MI | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
324 S Union St
Traverse City, MI 49684-2535
Mailing address
324 S Union St
Traverse City, MI 49684-2535
Phone (231) 947-4212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2532628 | Medicaid | MI | |
| 2041160 | Other | PK |
Other names 1
- THOMPSON PHARMACY AND MEDICAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076041 | MI | DME Supplier - Pharmacy | 5193862217 | Practice locations: Traverse City, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Thompson Pharmacy & Medical | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutan… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
324 S Union St
Traverse City, MI 49684
Phone (231) 947-4212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474848000000",
"number": "1174502983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 S UNION ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842535",
"telephone_number": "231-947-4212",
"fax_number": "231-947-2907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 S UNION ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842535",
"telephone_number": "231-947-4212",
"fax_number": "231-947-0301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMPSON PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-10",
"last_updated": "2016-09-26",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "231-947-8700",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301000600",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2532628",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2041160",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THOMPSON PHARMACY AND MEDICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.