Active NPI
Kevin Joseph Thomas, PHARMD
- Pharmacist
- Oak Creek, WI
National Provider Identifier
1386362663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21412-40
- Practice address
- 9449 S Howell Ave
Oak Creek, WI 53154-4431 - Phone
- (414) 764-8980
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- 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 | 21412-40 | WI | Primary |
Addresses
Primary practice location
9449 S Howell Ave
Oak Creek, WI 53154-4431
Mailing address
9449 S Howell Ave
Oak Creek, WI 53154-4431
Phone (414) 764-8980
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 |
|---|---|---|---|
| 21412-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
9449 S Howell Ave
Oak Creek, WI 53154
Phone (414) 764-8980
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1386362663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9449 S HOWELL AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531544431",
"telephone_number": "414-764-8980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9449 S HOWELL AVE",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531544431",
"telephone_number": "414-764-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KEVIN",
"middle_name": "JOSEPH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "21412-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.