Provider Demographics
NPI:1386031458
Name:HAWKINS, THOMAS (RPH)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5121 NC HIGHWAY 88 W # 288
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28693-9209
Mailing Address - Country:US
Mailing Address - Phone:336-384-3900
Mailing Address - Fax:336-384-4041
Practice Address - Street 1:5121 NC HIGHWAY 88 W # 288
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28693-9209
Practice Address - Country:US
Practice Address - Phone:336-384-3900
Practice Address - Fax:336-384-4041
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC067891835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7701747Medicaid
NC3423770OtherNABP
NCFH3327497OtherDEA