Xue Thao, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH028062 Issued in GA

Practice address

10 E May St
Winder, GA 30680-1949

Phone

(678) 425-6954

NPI assigned

Mar 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Winder, GA
  • NPI 1376775874
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1851752083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 SHOAL CREEK RD NW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306563762",
            "telephone_number": "678-591-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E MAY ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801949",
            "telephone_number": "678-425-6954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2065 Experiment Station Rd",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306775321",
            "country_code": "US",
            "telephone_number": "706-769-5654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAO",
        "first_name": "XUE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Altaf Husain Tadkod, M.D., M.P.H.
• Brendalyne Facia Tamba, FNP
• Poppy M Tansey, NP
• Sharon Lyle Taylor, M.D.
• Jordan Leigh Thackston, FNP-C
• The Abundant Life Institute Inc
• The Genesis Center of Winder LLC
• The Grounding Space Counseling and Consulting, LLC
• The Healthy Home Barrow LLC
• Theresa Mechelle Thomas

• Pharmacist in Winder, GA
• Providers in Winder, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.