Active NPI
Thomas Patrick Mitchell, R.PH.
- Pharmacist
- Southlake, TX
National Provider Identifier
1679801823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32305
- Practice address
- 1670 Bent Creek Dr
Southlake, TX 76092-9410 - Phone
- (817) 421-3421
- NPI assigned
- Nov 30, 2009
- Last updated
- Nov 30, 2009
- 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 | 32305 | TX | Primary |
Addresses
Primary practice location
1670 Bent Creek Dr
Southlake, TX 76092-9410
Mailing address
4520 Western Center Blvd
Haltom City, TX 76137-2635
Phone (817) 514-8063
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 |
|---|---|---|---|
| 32305 | TX | MD | Psychologist |
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": "1259539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1679801823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 WESTERN CENTER BLVD",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761372635",
"telephone_number": "817-514-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 BENT CREEK DR",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760929410",
"telephone_number": "817-421-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "THOMAS",
"middle_name": "PATRICK",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-30",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "32305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.