Active NPI
Edward Ragland Thomas IV, PHARM D
- Pharmacist
- Calabash, NC
National Provider Identifier
1508115569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14012
- Practice address
- 10227 Beach Drive SW
Calabash, NC 28467 - Phone
- (910) 579-3200
- Fax
- (910) 579-5381
- NPI assigned
- Sep 6, 2012
- Last updated
- Oct 12, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 202012497 | VA | |
| Pharmacist | 183500000X | 14012 | NC | Primary |
| Pharmacist | 183500000X | 11364 | SC |
Addresses
Primary practice location
10227 Beach Drive SW
Calabash, NC 28467
Mailing address
10227 Beach Drive SW
Calabash, NC 28467
Phone (910) 579-3200
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 |
|---|---|---|---|
| 11364 | SC | MD | Pharmacist |
| 202012497 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ye Olde Shoppe LLC | Current | Accepting new patients |
Organizations & group practices 5
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.
-
dba The Apothecary at St James
- Community/Retail Pharmacy
- Southport, NC
- NPI 1326613894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1508115569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10227 BEACH DRIVE SW",
"city": "CALABASH",
"state": "NC",
"postal_code": "28467",
"telephone_number": "910-579-3200",
"fax_number": "910-579-5381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10227 BEACH DRIVE SW",
"city": "CALABASH",
"state": "NC",
"postal_code": "28467",
"telephone_number": "910-579-3200",
"fax_number": "910-579-5381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "EDWARD",
"middle_name": "RAGLAND",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "202012497",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14012",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11364",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calabash, NC
- Cathy Marie Sellers, FNPC
- Starling Therapy and Wellness, PLLC
- Mary Morgan Starling, LCMHCA
- Edwin Lynn Styers, DDS
- Thomas Drugs Inc (Seashore Drugs)
- Verdin Pediatrics, PLLC
- Thomas M Verdin, MD
- Wal-Mart Stores East LP (Walmart Vision Center 30-4269)
- Wal-Mart Stores East, LP (Walmart Pharmacy 10-4269)
- Kathy Hinman Walker, PHYSICIAN ASST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.