Tom'S Express Drugs, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TOM'S EXPRESS DRUGS, LLC

Doing business as

Toms Express Drug

Practice address

403 Spencer St
Rayville, LA 71269-2932

Phone

(318) 728-3353

Fax

(318) 728-0703

NPI assigned

Dec 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Matthew J. Baumgartner, CPA, J.D.

Title

Member/Owner

Phone

(407) 354-5365

Specialties & licenses 2

Addresses

Other names 1

• Toms Express Drug Doing business as

Locations

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1285970475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SPENCER ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692932",
            "telephone_number": "318-728-3353",
            "fax_number": "318-728-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SPENCER ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712692932",
            "telephone_number": "318-728-3353",
            "fax_number": "318-728-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM'S EXPRESS DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "407-354-5365",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, J.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toms Express Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Rayville, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.