Individual provider Active NPI

Carol Jean Thompson, RPH

  • Pharmacist
  • North Ridgeville, OH
National Provider Identifier
1871189043
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03312982 Issued in OH
Practice address
34800 Center Ridge Rd
North Ridgeville, OH 44039-3160
Phone
(440) 353-1601
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03312982 OH Primary

Addresses

Primary practice location

34800 Center Ridge Rd
North Ridgeville, OH 44039-3160

Mailing address

4972 Gate Moss Oval
North Ridgeville, OH 44039-2307
Phone (440) 429-0878

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.marcs.com/stores/marcs-north-ridgeville-grocery-store-44039 Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03312982OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Glassman Inc PastSince Dec 13, 2020 Accepting new patients
Marc Glassman Inc PastSince Dec 13, 2020 Accepting new patients

Organizations & group practices 2

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1871189043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 GATE MOSS OVAL",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440392307",
            "telephone_number": "440-429-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393160",
            "telephone_number": "440-353-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03312982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.marcs.com/stores/marcs-north-ridgeville-grocery-store-44039",
            "affiliation": "N",
            "endpointDescription": "Phone Call Necessary",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phone Call",
            "address_1": "34800 Center Ridge Rd",
            "city": "North Ridgeville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440393160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.