Active NPI
Thomson Drug Company LLC
- Pharmacy
- Thomson, GA
National Provider Identifier
1194843466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHRE004226
- Legal business name
- THOMSON DRUG COMPANY LLC
- Practice address
- 501 Mount Pleasant Rd
Thomson, GA 30824-8140 - Phone
- (706) 595-6126
- Fax
- (706) 597-1449
- NPI assigned
- Mar 26, 2007
- 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
- Bryce Allfrey, PHARMD
- Title
- Managing Partner
- Phone
- (706) 595-6126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHRE004226 | GA | Primary |
Addresses
Primary practice location
501 Mount Pleasant Rd
Thomson, GA 30824-8140
Mailing address
501 Mount Pleasant Rd
Thomson, GA 30824-8140
Phone (706) 595-6126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00031116A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220817003271 | GA | Part B Supplier - Pharmacy | 6204219694 | Practice locations: Thomson, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Thomson Drug Company
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Thomson, GA
- NPI 1730939182
Locations
501 Mount Pleasant Rd
Thomson, GA 30824
Phone (706) 595-6126
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Thomson, GA
- NPI 1730939182
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Thomson, GA
- NPI 1295850881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658793600000",
"number": "1194843466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MOUNT PLEASANT RD",
"city": "THOMSON",
"state": "GA",
"postal_code": "308248140",
"telephone_number": "706-595-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MOUNT PLEASANT RD",
"city": "THOMSON",
"state": "GA",
"postal_code": "308248140",
"telephone_number": "706-595-6126",
"fax_number": "706-597-1449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMSON DRUG COMPANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A",
"authorized_official_last_name": "ALLFREY",
"authorized_official_first_name": "BRYCE",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "706-595-6126",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "PHRE004226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00031116A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.