Thomas Battaile Jr., RPH
Individual provider Active NPI Pharmacist · Highland, CA
NPI 1790003705 · NPPES record last updated May 14, 2010
Key facts
- NPI
- 1790003705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH37161 (CA)
- Practice address
- 3694 Highland Ave
Suite 27
Highland, CA 92346-2613 - Phone
- (909) 425-0311
- Fax
- (909) 862-1199
- NPI assigned
- May 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH37161 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH37161 | CA | Yes |
Addresses
Primary practice location
3694 Highland Ave
Suite 27
Highland, CA 92346-2613
Mailing address
3694 Highland Ave
Suite 27
Highland, CA 92346-2613
Phone (909) 425-0311
Other providers in Highland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.