Individual provider Active NPI

Carlton Matthew Thygesen

  • Pharmacist
  • Lincoln, NE
National Provider Identifier
1467452458
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9481 Issued in NE
Practice address
5045 Sawgrass Dr
Lincoln, NE 68526-9677
Phone
(402) 483-4964
Fax
(402) 483-5533
NPI assigned
Jul 31, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9481 NE Primary

Addresses

Primary practice location

5045 Sawgrass Dr
Lincoln, NE 68526-9677

Mailing address

5045 Sawgrass Dr
Lincoln, NE 68526-9677
Phone (402) 483-4964

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

LicenseStateTypeSpecialty
9481NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1122768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467452458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 SAWGRASS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269677",
            "telephone_number": "402-483-4964",
            "fax_number": "402-483-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 SAWGRASS DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269677",
            "telephone_number": "402-483-4964",
            "fax_number": "402-483-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYGESEN",
        "first_name": "CARLTON",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "9481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.