Active NPI
Thomas E Clasen, RPH
- Pharmacist
- Norfolk, VA
National Provider Identifier
1407828965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202006801
- Practice address
- 1721 Taussig Blvd
Norfolk, VA 23511 - Phone
- (757) 314-6397
- NPI assigned
- Feb 7, 2006
- Reactivated
- Feb 13, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202006801 | VA | Primary |
| Pharmacist | 183500000X | 8279-40 | WI |
Addresses
Primary practice location
1721 Taussig Blvd
Norfolk, VA 23511
Mailing address
101 Gardenville Dr
Yorktown, VA 23693-4407
Phone (757) 867-9040
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202006801 | VA | MD | Pharmacist |
| 8279-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1407828965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GARDENVILLE DR",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236934407",
"telephone_number": "757-867-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 TAUSSIG BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23511",
"telephone_number": "757-314-6397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLASEN",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2018-02-13",
"deactivation_date": "2017-12-05",
"reactivation_date": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202006801",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "8279-40",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.