IndividualActive
Jacob Thomas
NPI 1114298999 · Pharmacist · Brandon, FL
Provider details
- NPI number
- 1114298999
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PS41853 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
930 Providence Rd
Brandon, FL 33511
Phone: (813) 684-7560
Fax: (813) 681-8987
Street-level locationGet directions
Mailing address
5813 Parkset Dr
Lithia, FL 33547-4892
Registry dates
- Enumerated
- 2012-01-25
- Last updated
- 2012-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.