Individual provider Active NPI

Jeffrey Then, PHARMD

  • Pharmacist
  • Huntersville, NC
National Provider Identifier
1942707617
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29950 Issued in NC
Practice address
15010 Village Crossing Rd
Huntersville, NC 28078-4001
Phone
(704) 977-2105
NPI assigned
Apr 10, 2018
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS58449 FL
Pharmacist 183500000X 29950 NC Primary

Addresses

Primary practice location

15010 Village Crossing Rd
Huntersville, NC 28078-4001

Mailing address

15010 Village Crossing Rd
Huntersville, NC 28078-4001
Phone (704) 977-2105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
29950NCMDAddiction (Substance Use Disorder) Counselor
PS58449FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix North Carolina, LP CurrentSince Dec 17, 2023 Accepting new patients
Publix North Carolina, LP PastSince Dec 17, 2023 Accepting new patients

Locations

15010 Village Crossing Rd
Huntersville, NC 28078
Phone (704) 977-2105

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1942707617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 VILLAGE CROSSING RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784001",
            "telephone_number": "704-977-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 VILLAGE CROSSING RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784001",
            "telephone_number": "704-977-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEN",
        "first_name": "JEFFREY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58449",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.