Timothy Wayne Thornton, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

30560 Issued in TX

Practice address

19091 I 45 S
Shenandoah, TX 77385-8748

Phone

(936) 271-1760

Fax

(936) 271-1776

NPI assigned

Oct 30, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1265032809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19091 I 45 S",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858748",
            "telephone_number": "936-271-1760",
            "fax_number": "936-271-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19091 I 45 S",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858748",
            "telephone_number": "936-271-1760",
            "fax_number": "936-271-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2022-08-12",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "30560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "twthorn.s04713@samsclub.com",
            "affiliation": "N",
            "endpointDescription": "Sams Club intranet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19091 I 45 S",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773858748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "twthorn.s04713@samsclub.com",
            "affiliation": "N",
            "endpointDescription": "Sams Club intranet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19091 I 45 S",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773858748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "twthorn.s04713@samsclub.com",
            "affiliation": "N",
            "endpointDescription": "Sams Club intranet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19091 I 45 S",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773858748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.