Provider Demographics
NPI:1710099825
Name:THOMPSON DISCOUNT DRUG
Entity Type:Organization
Organization Name:THOMPSON DISCOUNT DRUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:BRITTON
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-878-7713
Mailing Address - Street 1:810 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-1428
Mailing Address - Country:US
Mailing Address - Phone:606-878-7713
Mailing Address - Fax:606-878-9458
Practice Address - Street 1:810 E 4TH ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-1428
Practice Address - Country:US
Practice Address - Phone:606-878-7713
Practice Address - Fax:606-878-9458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP01889332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1817191OtherNCPDP
KY54020573Medicaid
KYP01889OtherSTATE LIC
KYP01889OtherSTATE LIC