Organization Active NPI

Thompson Pharmacy, Inc.

Doing business as Thompson Pharmacy Olesons West

  • Community/Retail Pharmacy
  • Traverse City, MI
National Provider Identifier
1912071374
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006927 Issued in MI
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

Updated by the provider on Sep 28, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2359518OtherNCPDP PROVIDER IDENTIFICATION NUMBER
4161823MedicaidMI

Other names 1

  • THOMPSON PHARMACY OLESONS WEST Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thompson Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.