Active NPI
Bryan Thompson
- Pharmacist
- Lake View, IA
National Provider Identifier
1821485061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15805
- Practice address
- 1160 3Rd St
Lake View, IA 51450-7612 - Phone
- (712) 665-8554
- Fax
- (712) 665-2749
- NPI assigned
- Apr 24, 2015
- Last updated
- Apr 24, 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 | 15805 | IA | Primary |
Addresses
Primary practice location
1160 3Rd St
Lake View, IA 51450-7612
Mailing address
1160 3Rd St
Lake View, IA 51450-7612
Phone (712) 665-8554
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 |
|---|---|---|---|
| 15805 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1821485061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 3RD ST",
"city": "LAKE VIEW",
"state": "IA",
"postal_code": "514507612",
"telephone_number": "712-665-8554",
"fax_number": "712-665-2749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 3RD ST",
"city": "LAKE VIEW",
"state": "IA",
"postal_code": "514507612",
"telephone_number": "712-665-8554",
"fax_number": "712-665-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BRYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-24",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "15805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake View, IA
- Preferred Image
- Alecia Ann Smith, LISW
- Stewart Memorial Community Hospital (Stewart Memorial Clinic Lake View)
- Jenna Sturm
- Theodore R. Liautaud (Lakes Counseling & Psychiatry)
- Trimark Physicians Group (UnityPoint Clinic)
- Trimark Physicians Group Inc (Trimark Physicians Group)
- Trinity Regional Medical Center (Unitypoint Clinic Family Medicine Lake View)
- Elsie Verbik, MD
- Wall Lake View Auburn C.S.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.