Organization Active NPI

Thompson Pharmacy Inc

Doing business as Thompson Pharmacy Olesons East

  • Community/Retail Pharmacy
  • Traverse City, MI
National Provider Identifier
1477504827
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008386 Issued in MI
Legal business name
THOMPSON PHARMACY INC
Doing business as
Thompson Pharmacy Olesons East
Practice address
1100 Hammond Rd E
Traverse City, MI 49686-9369
Phone
(231) 947-2203
Fax
(231) 947-0062
NPI assigned
May 12, 2006
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Mark Thompson, RPH
Title
VP
Phone
(231) 947-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008386 MI Primary

Addresses

Primary practice location

1100 Hammond Rd E
Traverse City, MI 49686-9369

Mailing address

1100 Hammond Rd E
Traverse City, MI 49686-9369
Phone (231) 947-2203

Other identifiers 1

IdentifierTypeStateIssuer
2042296OtherPK

Other names 1

  • THOMPSON PHARMACY OLESONS EAST Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thompson Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 E Hammond Rd
Traverse City, MI 49686
Phone (231) 947-2203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1477504827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HAMMOND RD E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869369",
            "telephone_number": "231-947-2203",
            "fax_number": "231-947-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HAMMOND RD E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869369",
            "telephone_number": "231-947-2203",
            "fax_number": "231-947-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "231-947-8700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMPSON PHARMACY OLESONS EAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.