Tombert Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01274 Issued in KY

Legal business name

TOMBERT INC

Practice address

815 Country Club LN
Hopkinsville, KY 42240-1346

Phone

(270) 885-1524

Fax

(270) 885-5022

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mary Kathrine Detraz

Title

Ceo

Phone

(270) 885-1524

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• TOMS FAMILY PHARMACY Doing business as
• Tom's Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1275548802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COUNTRY CLUB LN",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401346",
            "telephone_number": "270-885-1524",
            "fax_number": "270-885-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COUNTRY CLUB LN",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401346",
            "telephone_number": "270-885-1524",
            "fax_number": "270-885-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBERT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "DETRAZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-885-1524"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P01274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2029476",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54015813",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOMS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tom's Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Tillman, OD
• Trenka R Tingler
• Tma Counseling & Life Coaching Services LLC
• Cassandra Toby, LPN
• Laura Lee Toliver, FNP
• Tombert Inc
• Nathalie Feza Tombo, DDS
• Tina L Tomlinson, LCSW
• Elizabeth A Toms, MD
• Michael Keith Toms, MD

• Community/Retail Pharmacy in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.