Eric Thompkins

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

209 South Broadway Ave
Johnsonville, SC 29555-2955

Phone

(702) 626-4656

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1902566870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1044",
            "city": "JOHNSONVILLE",
            "state": "SC",
            "postal_code": "295551044",
            "telephone_number": "702-626-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SOUTH BROADWAY AVE",
            "city": "JOHNSONVILLE",
            "state": "SC",
            "postal_code": "295552955",
            "telephone_number": "702-626-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPKINS",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April E Newell, PHARMD
• Latonya Parker
• Quantiva Diagnostics
• Katelyn Hanna Rogers, MSN, APRN, FNP-C
• Chandace B Tanner, PHARM D
• Wall Drugs of Johnsonville
• Wall Drugs of Johnsonville, Inc.
• Derrick Allan Wall, RPH

• Community Health Worker in Johnsonville, SC
• Providers in Johnsonville, SC by specialty
• Community Health Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.