Individual provider Active NPI

Thomas Scott Elliott, PHARMD

  • Pharmacist
  • Winston Salem, NC
National Provider Identifier
1366878274
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18930 Issued in NC
Practice address
3325 Robinhood Rd
Winston Salem, NC 27106-5403
Phone
(336) 765-5361
Fax
(336) 760-2787
NPI assigned
Sep 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18930 NC Primary

Addresses

Primary practice location

3325 Robinhood Rd
Winston Salem, NC 27106-5403

Mailing address

3325 Robinhood Rd
Winston Salem, NC 27106-5403
Phone (336) 765-5361

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

LicenseStateTypeSpecialty
18930NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1366878274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 ROBINHOOD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065403",
            "telephone_number": "336-765-5361",
            "fax_number": "336-760-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 ROBINHOOD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065403",
            "telephone_number": "336-765-5361",
            "fax_number": "336-760-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "THOMAS",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.