Organization Active NPI

The Thomas Shop

  • Durable Medical Equipment & Medical Supplies
  • Effingham, IL
National Provider Identifier
1174620082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0229690001 Issued in IL
Legal business name
THE THOMAS SHOP
Practice address
200 W Jefferson Ave
Effingham, IL 62401-2346
Phone
(217) 342-2733
Fax
(217) 342-6138
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kathy E. Thomas
Title
Owner/Fitter
Phone
(217) 342-2733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0229690001 IL Primary

Addresses

Primary practice location

200 W Jefferson Ave
Effingham, IL 62401-2346

Mailing address

200 W Jefferson Ave
Effingham, IL 62401-2346
Phone (217) 342-2733

National Provider Directory

National Provider Directory

Locations

200 W Jefferson Ave
Effingham, IL 62401
Phone (217) 342-2733

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174620082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W JEFFERSON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012346",
            "telephone_number": "217-342-2733",
            "fax_number": "217-342-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W JEFFERSON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012346",
            "telephone_number": "217-342-2733",
            "fax_number": "217-342-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THOMAS SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/FITTER",
        "authorized_official_telephone_number": "217-342-2733",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "0229690001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.