Active NPI
Brian Lee Thompson, RPH
- Pharmacist
- Jackson, MO
National Provider Identifier
1609514041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044052
- Practice address
- 125 Court St
Jackson, MO 63755-1807 - Phone
- (573) 243-3524
- Fax
- (573) 243-2155
- NPI assigned
- May 25, 2022
- Last updated
- May 25, 2022
- 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 | 044052 | MO | Primary |
Addresses
Primary practice location
125 Court St
Jackson, MO 63755-1807
Mailing address
125 Court St
Jackson, MO 63755-1807
Phone (573) 243-3524
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 |
|---|---|---|---|
| 044052 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiefer Thompson Pharma | Current | Accepting new patients | |
| Twin City Pharmacy, Inc | 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.
-
- Community/Retail Pharmacy
- Marble Hill, MO
- NPI 1568575033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1609514041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 COURT ST",
"city": "JACKSON",
"state": "MO",
"postal_code": "637551807",
"telephone_number": "573-243-3524",
"fax_number": "573-243-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 COURT ST",
"city": "JACKSON",
"state": "MO",
"postal_code": "637551807",
"telephone_number": "573-243-3524",
"fax_number": "573-243-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BRIAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MO
- Matthew Stoelb, PH.D., BCBA
- Christine Stone
- Tender Hearts Child Therapy Center
- The Villas of Jackson LLC
- Alison Brooke Theobald, CCC-SLP
- Matthew T Tompkins, LPC, NCC, EDS
- Town & Country Pharmacies, Inc, D/B/a Thriftway Drugs
- Town & Country Pharmacies, Inc. (Thriftway Drugs)
- Trendline Consulting LLC
- Tricorex Inc. (Healthcare Equipment & Supply)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.