Individual provider Active NPI

Thomas Wesley Ruth, PHARM D

  • Pharmacist
  • Thibodaux, LA
National Provider Identifier
1851606776
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17150 Issued in LA
Practice address
1615 Saint Mary St Ste F
Thibodaux, LA 70301-6442
Phone
(985) 492-9200
Fax
(985) 492-9202
NPI assigned
Aug 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17150 LA Primary

Addresses

Primary practice location

1615 Saint Mary St Ste F
Thibodaux, LA 70301-6442

Mailing address

1615 Saint Mary St Ste F
Thibodaux, LA 70301-6442
Phone (985) 492-9200

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17150LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
T & C RX Associates, L.L.C. CurrentSince Mar 31, 2024 Accepting new patients
Walgreen Co. PastSince Apr 1, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Locations

1615 Saint Mary St
Ste F
Thibodaux, LA 70301
Phone (985) 492-9200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1851606776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SAINT MARY ST STE F",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016442",
            "telephone_number": "985-492-9200",
            "fax_number": "985-492-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SAINT MARY ST STE F",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016442",
            "telephone_number": "985-492-9200",
            "fax_number": "985-492-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTH",
        "first_name": "THOMAS",
        "middle_name": "WESLEY",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.