Provider Demographics
NPI:1447288196
Name:THOMAS PHARMACY, INC.
Entity type:Organization
Organization Name:THOMAS PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SCEDAR PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:516-378-5927
Mailing Address - Street 1:451 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-1252
Mailing Address - Country:US
Mailing Address - Phone:516-378-5929
Mailing Address - Fax:516-378-8043
Practice Address - Street 1:451 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-1252
Practice Address - Country:US
Practice Address - Phone:516-378-5929
Practice Address - Fax:516-378-8043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021897332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00382967Medicaid
NY00382967Medicaid
NY1254410001Medicare NSC