Individual provider Active NPI

John Thornsberry, PHARMD

  • Pharmacist
  • Raleigh, NC
National Provider Identifier
1346845641
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29580 Issued in NC
Practice address
9305 Leesville Rd
Raleigh, NC 27613-2761
Phone
(903) 933-9459
NPI assigned
Dec 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD13660 AR
Pharmacist 183500000X 29580 NC Primary

Addresses

Primary practice location

9305 Leesville Rd
Raleigh, NC 27613-2761

Mailing address

9305 Leesville Rd Ste 101
Raleigh, NC 27613-7604
Phone (984) 302-3001

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD13660ARMDPharmacist
29580NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Puramint LLC CurrentSince Dec 6, 2020 Accepting new patients

Locations

9305 Leesville Rd
Raleigh, NC 27613
Phone (903) 933-9459

9305 Leesville Rd
Ste 101
Raleigh, NC 27613

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1346845641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 LEESVILLE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137604",
            "telephone_number": "984-302-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 LEESVILLE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276132761",
            "telephone_number": "903-933-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNSBERRY",
        "first_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2022-04-08",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD13660",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.