Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Thomas Fagan

Individual provider Pharmacist · NPI 1407922214

Mr. Thomas Fagan is a Pharmacist in Richmond, Virginia. Licensed in New Jersey and Virginia. Registered with an NPI since 2006.

Licensed in
NJ, VA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1201 Broadwalk Blvd
Richmond, VA 23249
Phone: (804) 675-5298
Fax: (804) 675-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202007681 (VA)
Pharmacist Taxonomy 183500000X · Licence 28RI01782400 (NJ)

Record details

NPI number1407922214
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 27, 2006
Last updated in NPPESJuly 8, 2007

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