Individual provider Active NPI

Dennis Wayne Thompson, PHARMACIST

  • Pharmacist
  • Stillwater, OK
National Provider Identifier
1487817656
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8589 Issued in OK
Practice address
2010 Copperfield
Stillwater, OK 74074-2383
Phone
(405) 372-3326
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8589 OK Primary

Addresses

Primary practice location

2010 Copperfield
Stillwater, OK 74074-2383

Mailing address

2010 Copperfield
Stillwater, OK 74074-2383
Phone (405) 372-3326

Other identifiers 1

IdentifierTypeStateIssuer
8589OtherOKPHARMACY NUMBER-OKLAHOMA

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

State licenses

LicenseStateTypeSpecialty
8589OKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1487817656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 COPPERFIELD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742383",
            "telephone_number": "405-372-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 COPPERFIELD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742383",
            "telephone_number": "405-372-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DENNIS",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "8589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NUMBER-OKLAHOMA",
            "identifier": "8589",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.