Active NPI
Thomas M Bass, PHARMD
- Pharmacist
- Planada, CA
National Provider Identifier
1609339639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46405
- Practice address
- 9215 E Highway 140
Planada, CA 95365-8245 - Phone
- (209) 382-1291
- NPI assigned
- Apr 8, 2019
- Last updated
- Apr 8, 2019
- 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 | 46405 | CA | Primary |
Addresses
Primary practice location
9215 E Highway 140
Planada, CA 95365-8245
Mailing address
PO Box 1636
Planada, CA 95365-1636
Phone (209) 382-1291
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 |
|---|---|---|---|
| 46405 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Drug Incorporated | Past | Accepting new patients |
Organizations & group practices 1
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": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1609339639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1636",
"city": "PLANADA",
"state": "CA",
"postal_code": "953651636",
"telephone_number": "209-382-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9215 E HIGHWAY 140",
"city": "PLANADA",
"state": "CA",
"postal_code": "953658245",
"telephone_number": "209-382-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "THOMAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "46405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Planada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.