Provider Demographics
NPI:1760690846
Name:KAYE, THOMAS (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:KAYE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:
Other - Last Name:KAYE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH, MBA
Mailing Address - Street 1:6502 KEELING PLACE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-1284
Mailing Address - Country:US
Mailing Address - Phone:502-298-4110
Mailing Address - Fax:502-585-8462
Practice Address - Street 1:305 W BROADWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2129
Practice Address - Country:US
Practice Address - Phone:502-585-7986
Practice Address - Fax:502-585-8462
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY01266183500000X
OK9527183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK9527OtherOK LIC NUMBER
KY012622OtherKY LIC NUMBER