Active NPI
Portia Dawn Thompson
- Pharmacist
- Floyd, VA
National Provider Identifier
1588038251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55122
- Practice address
- 311 E Main St
Floyd, VA 24091-2131 - Phone
- (540) 580-6797
- NPI assigned
- Nov 18, 2015
- Last updated
- Aug 16, 2017
- Sex
- Female
- 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 | 55122 | TX | Primary |
Addresses
Primary practice location
311 E Main St
Floyd, VA 24091-2131
Mailing address
102 West Outer Dr
Canyon Lake, TX 78133-5164
Phone (540) 580-6797
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55122 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharm House LLC | Current | Accepting new patients | |
| Pharm House LLC | Current | 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": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1588038251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WEST OUTER DR",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781335164",
"telephone_number": "540-580-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E MAIN ST",
"city": "FLOYD",
"state": "VA",
"postal_code": "240912131",
"telephone_number": "540-580-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "PORTIA",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-18",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floyd, VA
- Susan Page Osborne
- Jessica Talley-Haynes, LPC
- Tandem Health Care of Floyd, LLC (Skyline Manor Nursing Home)
- Denise Schmeitzel Thomas, M.S. , CF-SLP
- Tempry Thomas
- Tri Area Community Health (Tri Area Community Health at Floyd)
- Tri Area Community Health (Tri Area Community Health at Floyd County Schools)
- Emily Turner, FNP
- Sandhya Vemuri
- Virginia CVS Pharmacy LLC (CVS Pharmacy # 10440)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.