Active NPI
Keith Allen Thor, RPH
- Pharmacist
- Redding, CA
National Provider Identifier
1538813639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85716
- Practice address
- 980 E Cypress Ave
Redding, CA 96002-1002 - Phone
- (530) 221-5028
- NPI assigned
- Feb 8, 2022
- Last updated
- Feb 8, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85716 | CA | Primary |
Addresses
Primary practice location
980 E Cypress Ave
Redding, CA 96002-1002
Mailing address
8827 Brittany Park Dr
Sacramento, CA 95828-6510
Phone (916) 248-2637
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 |
|---|---|---|---|
| 85716 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1538813639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8827 BRITTANY PARK DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958286510",
"telephone_number": "916-248-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 E CYPRESS AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960021002",
"telephone_number": "530-221-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOR",
"first_name": "KEITH",
"middle_name": "ALLEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
- Michelle Joyce Thompson, MSN, APRN, AGACNP-BC
- Rodney M Thompson, MD
- Susan Howland Thompson, LCSW
- Tessa Thompson
- Aliceanne Thondu
- Ruth Anne Thornton, IBCLC, RN
- Anjali Devi Thota, MD
- Thrifty Payless Inc (Rite Aid Pharmacy 06095)
- Thrifty Payless Inc (Rite Aid Pharmacy 06097)
- Thrifty Payless Inc (Rite Aid Pharmacy 06099)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.