Active NPI
Jeremy Thomas
- Pharmacist
- Waxhaw, NC
National Provider Identifier
1801263314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25310
- Practice address
- 8101 Kensington Dr
Waxhaw, NC 28173-0103 - Phone
- (704) 843-7131
- NPI assigned
- Sep 1, 2015
- Last updated
- Sep 1, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 25310 | NC | Primary |
Addresses
Primary practice location
8101 Kensington Dr
Waxhaw, NC 28173-0103
Mailing address
8101 Kensington Dr
Waxhaw, NC 28173-0103
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25310 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1801263314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 KENSINGTON DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 KENSINGTON DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281730103",
"telephone_number": "704-843-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxhaw, NC
- Ralph Taylor
- Metkel Tecle
- Judy Terry
- Kameela Terry, CD
- The Charlotte-Mecklenburg Hospital Authority (Carolinas HealthCare System Neuosciences Institute)
- Thome & Young DDS PLLC II (Young and Polite Children's Dentistry Waxhaw)
- Erin Sarah Thompson
- Jacynda Thompson
- Sheila Thorpe-Diaz, LCSW-A
- Emily Catherine Tine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.