Active NPI
Kevin Anthony Thompson, PHARM D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Hanover, MD
National Provider Identifier
1487053781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 18633
- Practice address
- 7077 Arundel Mills Cir
Hanover, MD 21076-1387 - Phone
- (410) 379-3102
- NPI assigned
- Aug 22, 2014
- Last updated
- Oct 29, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18633 | MD | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 18633 | MD | Primary |
Addresses
Primary practice location
7077 Arundel Mills Cir
Hanover, MD 21076-1387
Mailing address
4080 Hanson Oaks Dr
Hyattsville, MD 20784-2315
Phone (202) 701-4758
Other practice location 1
7050 Allentown Rd
Camp Springs, MD 20748-5333
Phone (301) 449-4221
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 |
|---|---|---|---|
| 18633 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy LLC | Past | Accepting new patients | |
| Maryland CVS Pharmacy, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1487053781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 HANSON OAKS DR",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207842315",
"telephone_number": "202-701-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7077 ARUNDEL MILLS CIR",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761387",
"telephone_number": "410-379-3102"
}
],
"practiceLocations": [
{
"address_1": "7050 Allentown Rd",
"address_purpose": "LOCATION",
"city": "Camp Springs",
"state": "MD",
"postal_code": "207485333",
"country_code": "US",
"telephone_number": "301-449-4221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "KEVIN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-22",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18633",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "18633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.