Tommy Thong, PHARMD

Individual provider Active NPI Pharmacist · Atlanta, GA

NPI 1770197451 · NPPES record last updated Sep 1, 2020

Key facts

NPI
1770197451
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
032324 (GA)
Practice address
3695 Cascade Rd SW
Atlanta, GA 30331-2173
Phone
(404) 505-2870
NPI assigned
Sep 1, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
032324GAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 032324 GA Yes

Addresses

Primary practice location

3695 Cascade Rd SW
Atlanta, GA 30331-2173

Mailing address

4010 Whistler Dr
Douglasville, GA 30135-3088
Phone (770) 380-9823

Other practice location 1

4010 Whistler Dr
Douglasville, GA 30135-3088
Phone (770) 380-9823

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Publix

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 1, 2020.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1770197451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 WHISTLER DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353088",
            "telephone_number": "770-380-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312173",
            "telephone_number": "404-505-2870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 Whistler Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301353088",
            "country_code": "US",
            "telephone_number": "770-380-9823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THONG",
        "first_name": "TOMMY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "032324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Publix",
            "affiliation": "N",
            "endpointDescription": "Publix Super Market",
            "address_1": "3695 Cascade Rd SW",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303312173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

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Sources for this page

Verify at the official NPI Registry.