Organization Active NPI

Thomson Drug Company LLC

  • Pharmacy
  • Thomson, GA
National Provider Identifier
1194843466
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE004226 Issued in GA
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

Updated by the provider on Jul 26, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00031116AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220817003271 GA Part B Supplier - Pharmacy 6204219694 Practice locations: Thomson, GA

National Provider Directory

National Provider Directory
Tax ID family
Thomson Drug Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.