Active NPI
Thompson Pharmacy Inc
- Durable Medical Equipment & Medical Supplies
- Traverse City, MI
National Provider Identifier
1699983254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- H
- Legal business name
- THOMPSON PHARMACY INC
- Practice address
- 710 Centre St
Traverse City, MI 49686-3381 - Phone
- (231) 947-8700
- NPI assigned
- May 18, 2007
- Organization subpart
- Yes
- Parent organization
- THOMPSON PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Thompson, R.PH.
- Title
- VP
- Phone
- (231) 947-4212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | H | MI | Primary |
Addresses
Primary practice location
710 Centre St
Traverse City, MI 49686-3381
Mailing address
324 S Union St
Traverse City, MI 49684-2535
Phone (231) 947-4212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B80266 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1317 | Other | NORTHWOOD | |
| 2532628 | Medicaid | MI |
Other names 1
- Thompson Home Medical
National Provider Directory
National Provider Directory- Part of
- Thompson Pharmacy
Locations
710 Centre St
Traverse City, MI 49686
Phone (231) 947-8700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1699983254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 S UNION ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842535",
"telephone_number": "231-947-4212",
"fax_number": "231-947-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 CENTRE ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863381",
"telephone_number": "231-947-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMPSON PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THOMPSON PHARMACY INC",
"enumeration_date": "2007-05-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "231-947-4212",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "H",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0B80266",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHWOOD",
"identifier": "1317",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2532628",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thompson Home Medical",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.