Active NPI
Jeffery Thomas, PHARMD
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1447939558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068193
- Practice address
- 384 Graham Ave
Brooklyn, NY 11211-2471 - Phone
- (718) 389-8015
- NPI assigned
- Jul 17, 2023
- 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 | 068193 | NY | Primary |
Addresses
Primary practice location
384 Graham Ave
Brooklyn, NY 11211-2471
Mailing address
92 Norman St
New Hyde Park, NY 11040-1338
Phone (516) 304-0871
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 |
|---|---|---|---|
| 068193 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shreejee RX Inc | Current | Accepting new patients | |
| Shreejee RX 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1447939558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 NORMAN ST",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110401338",
"telephone_number": "516-304-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 GRAHAM AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112112471",
"telephone_number": "718-389-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JEFFERY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.