Provider Demographics
NPI:1659528933
Name:THOMAS, SIMMI (RPH/PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:SIMMI
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RPH/PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 GOVERNORS PL
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-6024
Mailing Address - Country:US
Mailing Address - Phone:302-392-2891
Mailing Address - Fax:
Practice Address - Street 1:1101 GOVERNORS PL
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-6024
Practice Address - Country:US
Practice Address - Phone:302-392-2891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-00031421835P0018X
PARP045711L1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist