THOMAS GORDON (NPI# 1770069916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770069916 |
| Entity Type | Individual |
| Full Name | THOMAS GORDON |
| Credential | PHARM D |
| Practice Address |
12921 Enterprise Way Bridgeton MO 63044-1206 |
| Mailing Address |
4800 Paris Dr Godfrey IL 62035-1617 |
| Practice Telephone | 3143449604 |
| Mailing Telephone | 6186102094 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 051.295883 | IL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 2012026227 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508317363 | Thomas W Gordon | Counselor | 107 Mineral Springs Rd, Highland Mills, NY 10930-6228 | 2016-10-17 |
| 1992864185 | Thomas James Gordon | Obstetrics & Gynecology | 320 Fulton St E, Grand Rapids, MI 49503-4302 | 2006-12-06 |
| 1023181062 | Thomas Vincent Gordon | Optometrist | 195 Roosevelt Trail, South Casco, ME 04077-0200 | 2006-11-16 |
| 1356869473 | Thomas William Gordon | Military Health Care Provider | 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291 | 2017-09-08 |
| 1740646108 | Thomas Gordon | Physical Therapy Assistant | 625 Walnut St, Mckeesport, PA 15132-2806 | 2016-01-14 |
| 1780007401 | Thomas Gordon | In Home Supportive Care | 102 Kercheval Ave Ste 100, Grosse Pointe Farms, MI 48236-3660 | 2014-01-31 |
| 1114092699 | Thomas Anthony Gordon | Dentist | 8605 Camino Media, Suite. 100, Bakersfield, CA 93311-1355 | 2006-11-21 |
| Street Address |
12921 ENTERPRISE WAY |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447444039 | Emily Jean Reinke | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044 | 2007-08-28 |
| 1184263279 | Callie Schwartzkopf | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2020-01-06 |
| 1174005565 | Kevin Burling | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-08-31 |
| 1144709528 | Bryant Biondo | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-08-07 |
| 1679051320 | Alyssa Farbak | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-08-04 |
| 1588142236 | Brianna Raynae Bray | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-08-04 |
| 1669950317 | Austin Lee | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-08-04 |
| 1023596277 | Jenny Lynne Kasen | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-07-31 |
| 1811475916 | Kayla Braswell | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-07-31 |
| 1831675354 | Emily Ponder | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044-1206 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053772491 | Moby Abraham | Pharmacist | 29 Cornwell Dr, Bridgeton, NJ 08302-3632 | 2016-03-13 |
| 1972843100 | Tracy Lynn Difilippantonio | Pharmacist | 393 Centerton Rd, Bridgeton, NJ 08302-5971 | 2013-02-25 |
| 1891051421 | Jessica Kent | Pharmacist | 12293 Saint Charles Rock Rd, Bridgeton, MO 63044-2502 | 2012-04-09 |
| 1609151661 | Linda Annobil | Pharmacist | 9 Landis Avenue, Bridgeton, NJ 08302 | 2011-10-20 |
| 1285953448 | Anna K Brecht | Pharmacist | 52 East Broad St, Bridgeton, NJ 08302 | 2010-05-26 |
| 1699092502 | Mark Difilippantonio | Pharmacist | 1070 N Pearl St, Bridgeton, NJ 08302-1215 | 2010-05-02 |
| 1497077200 | Douglas Alexander Laramie | Pharmacist | 11978 Saint Charles Rock Rd, Bridgeton, MO 63044-2636 | 2010-02-20 |
| 1447444039 | Emily Jean Reinke | Pharmacist | 12921 Enterprise Way, Bridgeton, MO 63044 | 2007-08-28 |
| 1902010820 | Richard K Mcmahan | Pharmacist | 12137 Bridgeton Sq, Bridgeton, MO 63044-2616 | 2007-05-09 |
| 1699861674 | Ssm Pharmacy @ Depaul | Pharmacist | 12255 De Paul Dr Ste 120, Bridgeton, MO 63044-2513 | 2006-10-05 |
| Find all providers in BRIDGETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.