Active NPI
Thomas Martin Mayock, R.PH.
- Pharmacist
- North Olmsted, OH
National Provider Identifier
1710263629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-3-11758
- Practice address
- 24590 Lorain Rd
North Olmsted, OH 44070-2169 - Phone
- (440) 716-0437
- Fax
- (440) 716-0633
- NPI assigned
- Oct 25, 2011
- Last updated
- Oct 25, 2011
- 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 | 03-3-11758 | OH | Primary |
Addresses
Primary practice location
24590 Lorain Rd
North Olmsted, OH 44070-2169
Mailing address
24590 Lorain Rd
North Olmsted, OH 44070-2169
Phone (440) 716-0437
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
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": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1710263629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24590 LORAIN RD",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440702169",
"telephone_number": "440-716-0437",
"fax_number": "440-716-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24590 LORAIN RD",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440702169",
"telephone_number": "440-716-0437",
"fax_number": "440-716-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYOCK",
"first_name": "THOMAS",
"middle_name": "MARTIN",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-11758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Olmsted, OH
- Marvald Counseling & Associates, Inc.
- Mark Marvald, M.S.S.A., L.I.S.W.
- Cynthia Mascia, PH.D.
- Theresa Masonbrink, APRN, CNS
- Maxim Healthcare Services, Inc.
- Michael Ahren McClure, L.AC. DIPL. AC.
- Katherine Diane McKay, PT, DPT
- Erin Colleen McLaughlin
- Jill M McMahon
- Meckler Dental Providers (Olmsted), Inc (DentalWorks)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.