Pamela Thibodeau, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302027425 Issued in MI

Practice address

1020 E Hill Rd
Grand Blanc, MI 48439-4803

Phone

(810) 232-4111

Fax

(810) 233-6360

NPI assigned

Mar 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Grand Blanc, MI
  • NPI 1386753838
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1194014076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484394803",
            "telephone_number": "810-232-4111",
            "fax_number": "810-233-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484394803",
            "telephone_number": "810-232-4111",
            "fax_number": "810-233-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "PAMELA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302027425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Center for Gastrointestinal Health at Health Park LLC
• The Heart That Cares
• The Porretta Center for Orthopaedic Surgery, PLLC
• Themes of Harmony Counseling Services
• Harshini Ramessh Thetheyji, MD
• Derek Thigpin, DO
• Amanda Thomas, DO
• Daniel Ea Thomas, DPM
• Deborah S Thomas
• Timothy Thomas, LPC

• Pharmacist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.