Thompson'S Pharmacy, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

THOMPSON'S PHARMACY, INC.

Doing business as

LEE GOODRUM EASTSIDE PHARMACY

Practice address

134 Millard Farmer Industrial Blvd
Newnan, GA 30263

Phone

(770) 251-4808

Fax

(770) 251-4815

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Trey John Berl Thompson III, PHARMD

Title

Owner

Phone

(404) 969-9734

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 2

• LEE GOODRUM EASTSIDE PHARMACY Doing business as
• White Oak Pharmacy, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trey B Thompson, PHARMD

  • Pharmacist
  • Carrollton, GA
  • NPI 1376484808
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1760534010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MILLARD FARMER INDUSTRIAL BLVD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30263",
            "telephone_number": "770-251-4808",
            "fax_number": "770-251-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MILLARD FARMER INDUSTRIAL BLVD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30263",
            "telephone_number": "770-251-4808",
            "fax_number": "770-251-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TREY JOHN",
        "authorized_official_middle_name": "BERL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-969-9734",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "007093",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1134927",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403928A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEE GOODRUM EASTSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LEE GOODRUM EASTSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Oak Pharmacy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Earleita Thompson Thompson McNeil
• Amanda Thompson
• Ashley Thompson, M.O.T. R/L
• Jessica Thompson, LPN
• Thompson'S Pharmacy, Inc.
• Kevin Thornton, LPC
• Tiffany Thrash
• Rebecca Lizabeth-Waters Thrasher
• James Michael Threadgill, DDS
• Thrive Pelvic Health & Wellness, LLC

• Pharmacist in Newnan, GA
• Providers in Newnan, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.