Active NPI
Thomas Douglas Purcell
- Pharmacist
- Munford, TN
National Provider Identifier
1992017099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000005484
- Practice address
- 43 Tabb Dr
Munford, TN 38058-8602 - Phone
- (901) 840-2450
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 0000005484 | TN | Primary |
Addresses
Primary practice location
43 Tabb Dr
Munford, TN 38058-8602
Mailing address
93 Jessie CV
Atoka, TN 38004-7572
Phone (901) 837-3095
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000005484 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1992017099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 JESSIE CV",
"city": "ATOKA",
"state": "TN",
"postal_code": "380047572",
"telephone_number": "901-837-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 TABB DR",
"city": "MUNFORD",
"state": "TN",
"postal_code": "380588602",
"telephone_number": "901-840-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "THOMAS",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000005484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Munford, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.