Timothy Timell Thompson Sr., PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202204745 Issued in VA

Practice address

5502 Marvin Shields Blvd.
Gulfport, MS 39501

Phone

(228) 822-5783

Fax

(228) 871-3648

NPI assigned

Jan 13, 2006

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

Other identifiers 1

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

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.

• Branch Medical Clinic Gulfport

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Gulfport, MS
  • NPI 1275733644
  NPD (past)
• NHC Pensacola

  • Military/U.S. Coast Guard Pharmacy
  • Gulfport, MS
  • NPI 1558773192
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1902885288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SHADY LANE AVE",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604308",
            "telephone_number": "901-219-8000",
            "fax_number": "228-822-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 MARVIN SHIELDS BLVD.",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39501",
            "telephone_number": "228-822-5783",
            "fax_number": "228-871-3648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 DeWitt Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Belvoir",
            "state": "VA",
            "postal_code": "220605285",
            "country_code": "US",
            "telephone_number": "571-237-3249",
            "fax_number": "571-231-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TIMOTHY",
        "middle_name": "TIMELL",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202204745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE NUMBER",
            "identifier": "0202204745",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Bennett Thompson, CFNP
• Paris Patrice Thompson, PCMHT
• Stephanie Thompson
• Taylor Thompson, RBT
• Timothy Thompson
• Christie Ann Thrash
• Tomieko Threadgill, PHLEBO, MA, CMLA
• Brittany Threatt, CSFA
• James C Thriffiley IV, MD
• Thrive Counseling, PLLC

• All providers in Gulfport, MS
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.