Active NPI
Gregory Alan Thomason, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Atlanta, GA
National Provider Identifier
1336747757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 012950
- Practice address
- 2452 Morosgo Way NE
Atlanta, GA 30324-3408 - Phone
- (404) 946-0450
- NPI assigned
- Oct 16, 2020
- Last updated
- Oct 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 012950 | GA | Primary |
Addresses
Primary practice location
2452 Morosgo Way NE
Atlanta, GA 30324-3408
Mailing address
863 Amsterdam Ave NE
Atlanta, GA 30306-3403
Phone (678) 772-1728
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012950 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Current | Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Locations
2452 Morosgo Way NE
Atlanta, GA 30324
Phone (404) 946-0450
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1336747757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "863 AMSTERDAM AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303063403",
"telephone_number": "678-772-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2452 MOROSGO WAY NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243408",
"telephone_number": "404-946-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASON",
"first_name": "GREGORY",
"middle_name": "ALAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-16",
"last_updated": "2020-10-16",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "012950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.