Provider Demographics
NPI:1740034750
Name:THOMAS, SONIA AMIN (PHARMD, BCOP)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:AMIN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHARMD, BCOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3095 FALA PL NE
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-2623
Mailing Address - Country:US
Mailing Address - Phone:404-751-7414
Mailing Address - Fax:
Practice Address - Street 1:3095 FALA PL NE
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-2623
Practice Address - Country:US
Practice Address - Phone:404-751-7414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171400000X
GARPH025699183500000X, 1835P0018X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology
No171400000XOther Service ProvidersHealth & Wellness Coach
No183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist