Active NPI
John Brian Thomas, RPH
- Pharmacist
- Cross Lanes, WV
National Provider Identifier
1942755061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5637
- Practice address
- 5450 Big Tyler Rd.
Cross Lanes, WV 25313 - Phone
- (304) 776-5178
- Fax
- (304) 769-0393
- NPI assigned
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5637 | WV | Primary |
Addresses
Primary practice location
5450 Big Tyler Rd.
Cross Lanes, WV 25313
Mailing address
3625 Woodward Dr.
Charleston, WV 25312
Phone (304) 549-7886
Other names 1
- Mr. John Brian Thomas
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5637 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Cross Lanes, WV
- NPI 1043244825
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1942755061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 WOODWARD DR.",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25312",
"telephone_number": "304-549-7886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 BIG TYLER RD.",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "25313",
"telephone_number": "304-776-5178",
"fax_number": "304-769-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JOHN",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "5637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "THOMAS",
"middle_name": "BRIAN",
"prefix": "MR.",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cross Lanes, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.