Individual provider Active NPI

Vasavi Thomas, PHARMACIST (PHARMD)

  • Pharmacist
  • Decatur, GA
National Provider Identifier
1962075499
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03321609 Issued in OH
Practice address
Veteran's Hospital Atlanta
1700 Clairmont Rd
Decatur, GA 30033
Phone
(800) 827-1000
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03321609 OH Primary

Addresses

Primary practice location

Veteran's Hospital Atlanta
1700 Clairmont Rd
Decatur, GA 30033

Mailing address

4058 Idlewood Parc CT
Tucker, GA 30084
Phone (703) 403-9504

Other identifiers 1

IdentifierTypeStateIssuer
00OtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL VA

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

State licenses

LicenseStateTypeSpecialty
03321609OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1962075499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4058 IDLEWOOD PARC CT",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "703-403-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VETERAN'S HOSPITAL ATLANTA",
            "address_2": "1700 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "800-827-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "VASAVI",
        "credential": "PHARMACIST (PHARMD)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03321609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "00",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "VA",
            "affiliation": "N",
            "address_1": "Veteran's Hospital Atlanta",
            "address_2": "1700 Clairmont Rd",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.