Theracom LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

P07549 Issued in KY

Legal business name

THERACOM LLC

Doing business as

TheraCom

Practice address

345 International Blvd.
Suite 200
Brooks, KY 40109-6202

Phone

(877) 654-7812

Fax

(469) 365-8274

NPI assigned

Feb 14, 2013

Last updated

Jul 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joseph Max Eiler, RPH

Title

Sr. Director Pharmacy Services

Phone

(469) 365-8338

Specialties & licenses 1

Addresses

Other names 1

• TheraCom Doing business as

Tax ID family

Theracom3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Theracom

  • Specialty Pharmacy
  • Rockville, MD
  • NPI 1568443489
  NPD tax ID
• Theracom, LLC

  dba TheraCom

  • Pharmacy
  • Rockville, MD
  • NPI 1851842827
  NPD tax ID

Locations

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1992044705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 PLANO PARKWAY",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "469-365-8245",
            "fax_number": "469-365-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 INTERNATIONAL BLVD.",
            "address_2": "SUITE 200",
            "city": "BROOKS",
            "state": "KY",
            "postal_code": "401096202",
            "telephone_number": "877-654-7812",
            "fax_number": "469-365-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "EILER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "SR. DIRECTOR PHARMACY SERVICES",
        "authorized_official_telephone_number": "469-365-8338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P07549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraCom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Brooks, KY
• Providers in Brooks, KY by specialty
• Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.