Active NPI
Tila Jenique Thomas, PHARMD
- Pharmacist
- Coralville, IA
National Provider Identifier
1366299364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25016
- Practice address
- 2751 Heartland Dr
Coralville, IA 52241-2731 - Phone
- (319) 545-4600
- NPI assigned
- May 6, 2024
- Last updated
- Nov 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 183500000X | 25016 | IA | Primary |
Addresses
Primary practice location
2751 Heartland Dr
Coralville, IA 52241-2731
Mailing address
755 Community Dr Apt 402
North Liberty, IA 52317-6715
Phone (302) 584-5311
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25016 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732406400000",
"number": "1366299364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 COMMUNITY DR APT 402",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523176715",
"telephone_number": "302-584-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 HEARTLAND DR",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412731",
"telephone_number": "319-545-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TILA",
"middle_name": "JENIQUE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-06",
"last_updated": "2024-11-24",
"certification_date": "2024-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "25016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.