Active NPI
Tom Kim White, RPH
- Pharmacist
- Carlsbad, NM
National Provider Identifier
1720338197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00004960
- Practice address
- 202 W Church St
Carlsbad, NM 88220-6300 - Phone
- (575) 887-5085
- Fax
- (575) 887-8300
- NPI assigned
- Sep 13, 2012
- 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 | RP00004960 | NM | Primary |
Addresses
Primary practice location
202 W Church St
Carlsbad, NM 88220-6300
Mailing address
202 W Church St
Carlsbad, NM 88220-6300
Phone (575) 887-5085
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 |
|---|---|---|---|
| RP00004960 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745107200000",
"number": "1720338197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W CHURCH ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882206300",
"telephone_number": "575-887-5085",
"fax_number": "575-887-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W CHURCH ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882206300",
"telephone_number": "575-887-5085",
"fax_number": "575-887-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TOM",
"middle_name": "KIM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2025-04-20",
"certification_date": "2025-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00004960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.