Individual provider Active NPI

Kevin Anthony Thompson, PHARM D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Hanover, MD
National Provider Identifier
1487053781
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
18633 Issued in MD
Practice address
7077 Arundel Mills Cir
Hanover, MD 21076-1387
Phone
(410) 379-3102
NPI assigned
Aug 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
18633MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland CVS Pharmacy, L.L.C. Past Accepting new patients
Maryland CVS Pharmacy LLC 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": "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.

Verify at the official NPI Registry.