Individual provider Active NPI

Clifford Thoms

  • Pharmacist
  • Utica, NY
National Provider Identifier
1265612048
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25250 Issued in NY
Practice address
2308 Bleecker St
Utica, NY 13501-1746
Phone
(315) 624-0050
Fax
(315) 624-0051
NPI assigned
Nov 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25250 NY Primary

Addresses

Primary practice location

2308 Bleecker St
Utica, NY 13501-1746

Mailing address

20 Canterbury Rd
New Hartford, NY 13413-2407
Phone (315) 733-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25250NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Solutions of CCRX Ny Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1265612048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CANTERBURY RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132407",
            "telephone_number": "315-733-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 BLEECKER ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011746",
            "telephone_number": "315-624-0050",
            "fax_number": "315-624-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMS",
        "first_name": "CLIFFORD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "25250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.