Active NPI
Justin B Thomas, CPHT
- Pharmacy Technician
- Eugene, OR
National Provider Identifier
1376982140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CPT-0005756
- Practice address
- 1500 Coburg Rd
Eugene, OR 97401-4802 - Phone
- (541) 685-8880
- NPI assigned
- Jun 14, 2013
- Last updated
- Jun 14, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CPT-0005756 | OR | Primary |
| Pharmacy Technician | 183700000X | 105423 | CA |
Addresses
Primary practice location
1500 Coburg Rd
Eugene, OR 97401-4802
Mailing address
1500 Coburg Rd
Eugene, OR 97401-4802
Phone (541) 685-8880
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 |
|---|---|---|---|
| 105423 | CA | MD | Pharmacy Technician |
| CPT-0005756 | OR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
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": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1376982140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 COBURG RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014802",
"telephone_number": "541-685-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 COBURG RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014802",
"telephone_number": "541-685-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JUSTIN",
"middle_name": "B",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OR",
"license": "CPT-0005756",
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "105423",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.