Active NPI
Andrew Forman Thorndyke
- Pharmacist
- Sunset Beach, NC
National Provider Identifier
1083928675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 05967
- Practice address
- 852 Sunset Blvd N
Sunset Beach, NC 28468-4262 - Phone
- (910) 579-4503
- NPI assigned
- Aug 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 05967 | NC | Primary |
Addresses
Primary practice location
852 Sunset Blvd N
Sunset Beach, NC 28468-4262
Mailing address
853 N Sandpiper Club Dr SW
Sunset Beach, NC 28468-5807
Phone (910) 575-4925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05967 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Sunset Beach, NC
- NPI 1750396859
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1083928675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 N SANDPIPER CLUB DR SW",
"city": "SUNSET BEACH",
"state": "NC",
"postal_code": "284685807",
"telephone_number": "910-575-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 SUNSET BLVD N",
"city": "SUNSET BEACH",
"state": "NC",
"postal_code": "284684262",
"telephone_number": "910-579-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNDYKE",
"first_name": "ANDREW",
"middle_name": "FORMAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-06",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "05967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunset Beach, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.