Active NPI
Leon Thomas, PHARMD
- Pharmacist
- Walls, MS
National Provider Identifier
1740870575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-11889
- Practice address
- 6040 Goodman Rd
Walls, MS 38680-8130 - Phone
- (662) 781-1290
- Fax
- (662) 781-1485
- NPI assigned
- Jan 26, 2021
- Last updated
- Jan 26, 2021
- 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 | E-11889 | MS | Primary |
Addresses
Primary practice location
6040 Goodman Rd
Walls, MS 38680-8130
Mailing address
6040 Goodman Rd
Walls, MS 38680-8130
Phone (662) 781-1290
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-11889 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1740870575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 GOODMAN RD",
"city": "WALLS",
"state": "MS",
"postal_code": "386808130",
"telephone_number": "662-781-1290",
"fax_number": "662-781-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 GOODMAN RD",
"city": "WALLS",
"state": "MS",
"postal_code": "386808130",
"telephone_number": "662-781-1290",
"fax_number": "662-781-1485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LEON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-11889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walls, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.