Individual provider Active NPI

Thomas Merrill Thomas, R.PH.

  • Pharmacotherapy Pharmacist
  • De Pere, WI
National Provider Identifier
1447694963
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
7260-40 Issued in WI
Practice address
230 N Wisconsin St
De Pere, WI 54115-2735
Phone
(920) 336-2323
Fax
(920) 336-2186
NPI assigned
Apr 26, 2013
Last updated
Apr 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 7260-40 WI Primary

Addresses

Primary practice location

230 N Wisconsin St
De Pere, WI 54115-2735

Mailing address

230 N Wisconsin St
De Pere, WI 54115-2735
Phone (920) 336-2323

Other names 1

  • Mr. Thomas Merrill Thomas Professional name

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

LicenseStateTypeSpecialty
7260-40WIMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1447694963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N WISCONSIN ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152735",
            "telephone_number": "920-336-2323",
            "fax_number": "920-336-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N WISCONSIN ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152735",
            "telephone_number": "920-336-2323",
            "fax_number": "920-336-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "THOMAS",
        "middle_name": "MERRILL",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WI",
            "license": "7260-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "THOMAS",
            "middle_name": "MERRILL",
            "prefix": "MR.",
            "credential": "R.PH.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.