Active NPI
Thompson Pharmacy, Inc.
Doing business as Thompson Pharmacy Olesons West
- Community/Retail Pharmacy
- Traverse City, MI
National Provider Identifier
1912071374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301006927
- Legal business name
- THOMPSON PHARMACY, INC.
- Doing business as
- Thompson Pharmacy Olesons West
- Practice address
- 3850 N Long Lake Rd
Ste 101
Traverse City, MI 49684-9601 - Phone
- (231) 947-2880
- Fax
- (231) 947-2907
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Thompson, RPH
- Title
- Owner
- Phone
- (231) 947-4212
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301006927 | MI | Primary |
Addresses
Primary practice location
3850 N Long Lake Rd
Ste 101
Traverse City, MI 49684-9601
Mailing address
Thompson Pharmacy Inc
324 S Union St
Traverse City, MI 49684
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2359518 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 4161823 | Medicaid | MI |
Other names 1
- THOMPSON PHARMACY OLESONS WEST
National Provider Directory
National Provider Directory- Tax ID family
- Thompson Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Thompson Pharmacy Olesons East
- Community/Retail Pharmacy
- Traverse City, MI
- NPI 1477504827
-
- Pharmacy
- Interlochen, MI
- NPI 1346704517
Locations
3850 N Long Lake Rd
#101
Traverse City, MI 49684
Phone (231) 947-2880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348790400000",
"number": "1912071374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THOMPSON PHARMACY INC",
"address_2": "324 S UNION ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "49684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 N LONG LAKE RD",
"address_2": "STE 101",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496849601",
"telephone_number": "231-947-2880",
"fax_number": "231-947-2907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMPSON PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2012-09-28",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-947-4212",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301006927",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2359518",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4161823",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THOMPSON PHARMACY OLESONS WEST",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.