Thomas Morrison
Individual provider Active NPI Pharmacist · Aurora, MO
NPI 1699111963 · NPPES record last updated May 14, 2013
Key facts
- NPI
- 1699111963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 040857 (MO)
- Practice address
- 124 S Madison Ave
Aurora, MO 65605-1427 - Phone
- (417) 678-4136
- Fax
- (417) 678-2014
- NPI assigned
- May 14, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 040857 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Professional Pharmacy Inc | Current | Accepting new patients | |
| Aurora Professional Pharmacy Inc | Current | Accepting new patients |
Locations
124 S Madison Ave
Aurora, MO 65605
Phone (417) 678-4136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040857 | MO | Yes |
Addresses
Primary practice location
124 S Madison Ave
Aurora, MO 65605-1427
Mailing address
124 S Madison Ave
Aurora, MO 65605-1427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600282800 | Medicaid | MO | |
| 1609865047 | Other | MO | AURORA PROFESSIONAL PHARMACY NPI |
Other providers in Aurora, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2013. 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.