Active NPI
Grace Ann Thomas, PHARMACIST
- Pharmacist
- Chatham, IL
National Provider Identifier
1366730087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-292205
- Practice address
- 1050 N Main St
Chatham, IL 62629-1078 - Phone
- (217) 483-5505
- Fax
- (217) 483-5529
- NPI assigned
- Jul 15, 2011
- Sex
- Female
- 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 | 183500000X | 051-292205 | IL | Primary |
Addresses
Primary practice location
1050 N Main St
Chatham, IL 62629-1078
Mailing address
1050 N Main St
Chatham, IL 62629-1078
Phone (217) 483-5505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-292205 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310688000000",
"number": "1366730087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 N MAIN ST",
"city": "CHATHAM",
"state": "IL",
"postal_code": "626291078",
"telephone_number": "217-483-5505",
"fax_number": "217-483-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N MAIN ST",
"city": "CHATHAM",
"state": "IL",
"postal_code": "626291078",
"telephone_number": "217-483-5505",
"fax_number": "217-483-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "GRACE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-15",
"last_updated": "2011-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-292205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.