Active NPI
Thomas Jeffrey Ewers, R.PH.
- Pharmacist
- Taos, NM
National Provider Identifier
1740478361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14746
- Practice address
- 523 San Geronimo Rd
#13
Taos, NM 87571-6456 - Phone
- (515) 897-0201
- NPI assigned
- Oct 9, 2007
- Last updated
- Jun 12, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14746 | IA | Primary |
| Pharmacist | 183500000X | PS 40074 | FL | |
| Pharmacist | 183500000X | 043286 | MO |
Addresses
Primary practice location
523 San Geronimo Rd
#13
Taos, NM 87571-6456
Mailing address
523 San Geronimo Rd
#13
Taos, NM 87571-6456
Phone (515) 897-0201
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 |
|---|---|---|---|
| PS 40074 | FL | MD | Pharmacist |
| 14746 | IA | MD | Pharmacist |
| 043286 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1740478361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 SAN GERONIMO RD",
"address_2": "#13",
"city": "TAOS",
"state": "NM",
"postal_code": "875716456",
"telephone_number": "515-897-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 SAN GERONIMO RD",
"address_2": "#13",
"city": "TAOS",
"state": "NM",
"postal_code": "875716456",
"telephone_number": "515-897-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWERS",
"first_name": "THOMAS",
"middle_name": "JEFFREY",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-09",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "14746",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 40074",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.