Provider Demographics
NPI:1699055137
Name:THOMAS, NOEL (PHARMD)
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:
Last Name:THOMAS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SKYLINE DR STE 240
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2166
Mailing Address - Country:US
Mailing Address - Phone:800-511-5144
Mailing Address - Fax:914-789-5099
Practice Address - Street 1:5 SKYLINE DR STE 240
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2166
Practice Address - Country:US
Practice Address - Phone:800-511-5144
Practice Address - Fax:914-789-5099
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056033183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist