Provider Demographics
NPI:1821220781
Name:THOMPSON, JOHN RICHARDSON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RICHARDSON
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 UNIVERSITY PARK DR # 225D
Mailing Address - Street 2:LIPSCOMB UNIVERSITY COLLEGE OF PHARMACY
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3956
Mailing Address - Country:US
Mailing Address - Phone:615-966-7172
Mailing Address - Fax:615-966-7163
Practice Address - Street 1:1 UNIVERSITY PARK DR # 225D
Practice Address - Street 2:LIPSCOMB UNIVERSITY COLLEGE OF PHARMACY
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3956
Practice Address - Country:US
Practice Address - Phone:615-966-7172
Practice Address - Fax:615-966-7163
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53951835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist