Provider Demographics
NPI:1518281013
Name:MCCARTHY, THOMAS WILLIAM (RPH)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:WILLIAM
Last Name:MCCARTHY
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 1:272 BLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3707
Mailing Address - Country:US
Mailing Address - Phone:718-823-7046
Mailing Address - Fax:
Practice Address - Street 1:2728 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2808
Practice Address - Country:US
Practice Address - Phone:718-829-6808
Practice Address - Fax:718-829-6308
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054275183500000X
FLPS29289183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist