Active NPI
Thomas Manning Neale Jr., RPH
- Pharmacist
- Southlake, TX
National Provider Identifier
1417619677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29336
- Practice address
- 721 E Southlake Blvd Ste 180
Southlake, TX 76092-6587 - Phone
- (817) 410-1000
- Fax
- (817) 410-1001
- NPI assigned
- Oct 5, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29336 | TX | Primary |
Addresses
Primary practice location
721 E Southlake Blvd Ste 180
Southlake, TX 76092-6587
Mailing address
3020 Corporate CT Ste 300
Flower Mound, TX 75028-5617
Phone (972) 539-3624
Other practice location 1
420 S Denton Tap Rd Ste 110
Coppell, TX 75019-3266
Phone (972) 462-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29336 | Other | TX | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 29336 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrimed Clinics LLC | Current | Accepting new patients | |
| Pharmacy Plus, Inc. | Past | Accepting new patients | |
| Pharmacy Plus Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Robinson Community Clinic
- Community Health Clinic/Center
- Robinson, TX
- NPI 1477834794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1417619677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CORPORATE CT STE 300",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750285617",
"telephone_number": "972-539-3624",
"fax_number": "972-539-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 E SOUTHLAKE BLVD STE 180",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926587",
"telephone_number": "817-410-1000",
"fax_number": "817-410-1001"
}
],
"practiceLocations": [
{
"address_1": "420 S Denton Tap Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Coppell",
"state": "TX",
"postal_code": "750193266",
"country_code": "US",
"telephone_number": "972-462-9400",
"fax_number": "972-462-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEALE",
"first_name": "THOMAS",
"middle_name": "MANNING",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "29336",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
- Vishnu Priya Nalla
- Sawsan Emad Naser, OD
- Halle Lauren Nash
- National Medistar Healthcare Solutions, LLC (MediStar Healthcare Solutions)
- Bianca Nazario
- Neogen Mental Health and Behavioral Services, PA.
- Danielle Brooke Ness, FNP-C
- Neuro Brain Center of America, LLC
- Neuro Rehab Associates PA
- Neurocare Centre of North Texas, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.