Provider Demographics
NPI:1447977483
Name:TOMPKINS, IOANA (RPH)
Entity type:Individual
Prefix:
First Name:IOANA
Middle Name:
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 QUAIL RUN DR
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1579
Mailing Address - Country:US
Mailing Address - Phone:978-481-5800
Mailing Address - Fax:
Practice Address - Street 1:155 NORTHBORO RD STE 4
Practice Address - Street 2:
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-1033
Practice Address - Country:US
Practice Address - Phone:508-481-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1358183500000X
MAPH21760183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPH21760OtherPHARMACIST LICENSE
NHR1358OtherPHARMACIST LICENSE