Thomas Quain, RPH
Individual provider Active NPI Pharmacist · Syracuse, NY
NPI 1457533408 · NPPES record last updated Dec 1, 2007
Key facts
- NPI
- 1457533408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 040220 (NY)
- Practice address
- 3120 James St
Syracuse, NY 13206-3043 - Phone
- (315) 463-5229
- NPI assigned
- Dec 1, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040220 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040220 | NY | Yes |
Addresses
Primary practice location
3120 James St
Syracuse, NY 13206-3043
Mailing address
3120 James St
Syracuse, NY 13206-3043
Phone (315) 463-5229
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.