Thomas Haltom, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

24478 Issued in TX

Practice address

6308 Lake Worth Blvd
Lake Worth, TX 76135-3602

Phone

(817) 237-8128

Fax

(817) 237-0110

NPI assigned

Jun 10, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Albertsons LLC

  • Community/Retail Pharmacy
  • Lake Worth, TX
  • NPI 1417994971
  NPD (past)
• Albertsons LLC

  • Community/Retail Pharmacy
  • Ardmore, OK
  • NPI 1134958457
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1851772479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 LAKE WORTH BLVD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353602",
            "telephone_number": "817-237-8128",
            "fax_number": "817-237-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 LAKE WORTH BLVD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353602",
            "telephone_number": "817-237-8128",
            "fax_number": "817-237-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "14625",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "24478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica S Farias, MD
• Naima Garrett, MD
• Katherine Leigh Garza, PHARMD
• Austin Tanner Graham, BCBA
• Green Oaks Physical Therapy Limited Partnership
• Heathers Old Skool Village
• Joe Hinojosa, RN
• Home Town Dental of Lake Worth PC
• Home Town Dental,PA
• Kaye Hrubes, B.S. PHARMACY

• Pharmacist in Lake Worth, TX
• Providers in Lake Worth, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.