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
Mailing address12705 Clearwater Drive, Midlothian, VA 23114

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