Thorncherry RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02270365003 Issued in OH

Legal business name

THORNCHERRY RX LLC

Practice address

1607 Amherst Rd NE
Massillon, OH 44646-4183

Phone

(330) 413-1509

Fax

(330) 413-1509

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Adam WilliamsNPI 1427651231

Title

President/Owner

Phone

(330) 354-5455

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ThornCherry Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Thorncherry Pharmacy LTC

  • Long Term Care Pharmacy
  • Massillon, OH
  • NPI 1114705043
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Williams

  • Pharmacy
  • Massillon, OH
  • NPI 1427651231
  NPD Authorized official

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1932632973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464183",
            "telephone_number": "330-413-1509",
            "fax_number": "330-413-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464183",
            "telephone_number": "330-413-1509",
            "fax_number": "330-413-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNCHERRY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "330-354-5455"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02270365003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ThornCherry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Derrick Duane Thomas
• Thompson Chiropractic Office Inc
• Juanita Thompson
• Steven Dean Thomson, MD
• Thorncherry Pharmacy LTC
• Thrive Nutrition Counseling LLC
• Ashley N Tice, RN
• Ami Todd
• Brittany Nichole Tomes, LPN
• Myeia G Torrence

• Community/Retail Pharmacy in Massillon, OH
• Providers in Massillon, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.