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1508091380 NPI number — BERNARD E THOMAS RPH

NPI Number: 1508091380
Health Care Provider/Practitioner: BERNARD E THOMAS RPH

Information about “1508091380” NPI (BERNARD E THOMAS RPH) exists in 1508091380 in HTML format HTML  |  1508091380 in plain Text format TXT  |  1508091380 in PDF (Portable Document Format) PDF  |  1508091380 in an XML format XML  formats.

NPI Number : 1508091380 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508091380",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "THOMAS",
    "FirstName": "BERNARD",
    "MiddleName": "E",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8017 KOVACS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINDEN",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48451-8760",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "810-275-5259",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1022 W GENESEE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAPEER",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48446-1876",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "810-664-4578",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/21/2009",
    "LastUpdateDate": "05/21/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "5302021988",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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