Provider Demographics
NPI:1851685465
Name:JOSE, THOMAS KAROOR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:KAROOR
Last Name:JOSE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 HALES AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-6146
Mailing Address - Country:US
Mailing Address - Phone:718-317-2263
Mailing Address - Fax:718-218-8591
Practice Address - Street 1:527 GRAND ST
Practice Address - Street 2:UNITED PHARMACY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-3559
Practice Address - Country:US
Practice Address - Phone:718-384-7901
Practice Address - Fax:718-218-8591
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist