Thomas Morris
Individual provider Active NPI Pharmacist · Manchester, GA
NPI 1609634062 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1609634062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH034637 (GA)
- Practice address
- 305 W Main St
Manchester, GA 31816-1656 - Phone
- (706) 846-8647
- NPI assigned
- Mar 11, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH034637 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH034637 | GA | Yes |
Addresses
Primary practice location
305 W Main St
Manchester, GA 31816-1656
Mailing address
305 W Main St
Manchester, GA 31816-1656
Other providers in Manchester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.