Individual provider Active NPI

Cameron Nicholas Thirkell, RPH

  • Pharmacist
  • Sandwich, MA
National Provider Identifier
1497350284
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH239606 Issued in MA
Practice address
77 Quaker Meeting House Rd
Sandwich, MA 02563-5103
Phone
(508) 477-2655
NPI assigned
Dec 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH239606 MA Primary

Addresses

Primary practice location

77 Quaker Meeting House Rd
Sandwich, MA 02563-5103

Mailing address

77 Quaker Meeting House Rd
Sandwich, MA 02563-5103
Phone (508) 477-2655

Other identifiers 1

IdentifierTypeStateIssuer
PH239606OtherMAMASSACHUSETTS BOARD OF REGISTRATION IN PHARMACY

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH239606MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1497350284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 QUAKER MEETING HOUSE RD",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025635103",
            "telephone_number": "508-477-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 QUAKER MEETING HOUSE RD",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025635103",
            "telephone_number": "508-477-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRKELL",
        "first_name": "CAMERON",
        "middle_name": "NICHOLAS",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH239606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS BOARD OF REGISTRATION IN PHARMACY",
            "identifier": "PH239606",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.