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
- 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1780134403
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
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.