Healthcare Provider Details

I. General information

NPI: 1013126879
Provider Name (Legal Business Name): JAMES T THOMPSON PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 DOUGLAS PKWY
PIKEVILLE KY
41501-6970
US

IV. Provider business mailing address

PO BOX 4025
PIKEVILLE KY
41502-4025
US

V. Phone/Fax

Practice location:
  • Phone: 606-639-9045
  • Fax: 606-639-3136
Mailing address:
  • Phone: 606-639-9045
  • Fax: 606-639-3136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number012021
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: