Individual provider Active NPI

Melvin Thomas

  • Pharmacist
  • Des Plaines, IL
National Provider Identifier
1811398480
Registry record updated Sep 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051298003 Issued in IL
Practice address
17 W Golf Rd
Des Plaines, IL 60016-2410
Phone
(847) 296-5145
NPI assigned
Sep 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051298003 IL Primary

Addresses

Primary practice location

17 W Golf Rd
Des Plaines, IL 60016-2410

Mailing address

17 W Golf Rd
Des Plaines, IL 60016-2410
Phone (847) 296-5145

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

LicenseStateTypeSpecialty
051298003ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1410652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410652800000",
    "number": "1811398480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162410",
            "telephone_number": "847-296-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162410",
            "telephone_number": "847-296-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MELVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-14",
        "last_updated": "2014-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051298003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.