Provider Demographics
NPI:1366776387
Name:THOMPSON, JOAN P (PHARM D)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:P
Last Name:THOMPSON
Suffix:
Gender:F
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 1:7600 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-2818
Mailing Address - Country:US
Mailing Address - Phone:913-647-5955
Mailing Address - Fax:913-647-5958
Practice Address - Street 1:7600 STATE AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-2818
Practice Address - Country:US
Practice Address - Phone:913-647-5955
Practice Address - Fax:913-647-5958
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist