Active NPI
Thomas James Traham, RPH
- Pharmacist
- Baton Rouge, LA
National Provider Identifier
1508149915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10319
- Practice address
- 15255 George Oneal Rd
Baton Rouge, LA 70817-1559 - Phone
- (225) 752-3710
- NPI assigned
- Sep 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10319 | LA | Primary |
Addresses
Primary practice location
15255 George Oneal Rd
Baton Rouge, LA 70817-1559
Mailing address
12428 Heversham Ave
Baton Rouge, LA 70810-0912
Phone (225) 752-3710
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10319 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1508149915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12428 HEVERSHAM AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708100912",
"telephone_number": "225-752-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15255 GEORGE ONEAL RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708171559",
"telephone_number": "225-752-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAHAM",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "10319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.