Individual provider Active NPI

Elbert Alan Thornton, R.PH., J.D.

  • Pharmacist
  • Lumberton, TX
National Provider Identifier
1871195883
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28417 Issued in TX
Practice address
12201 Beaverbrook St
Lumberton, TX 77657-8173
Phone
(409) 893-2654
Fax
(254) 294-1903
NPI assigned
Nov 13, 2020
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28417 TX Primary

Addresses

Primary practice location

12201 Beaverbrook St
Lumberton, TX 77657-8173

Mailing address

12201 Beaverbrook St
Lumberton, TX 77657-8173
Phone (409) 893-2654

Other identifiers 1

IdentifierTypeStateIssuer
28417OtherTXTEXAS STATE BOARD OF PHARMACY

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
Juris Doctor, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28417TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
King's Pharmacy of Lumberton, LLC PastSince Apr 6, 2025 Accepting new patients
King's Pharmacy of Lumberton PastSince Nov 1, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1871195883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 BEAVERBROOK ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776578173",
            "telephone_number": "409-893-2654",
            "fax_number": "409-755-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 BEAVERBROOK ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776578173",
            "telephone_number": "409-893-2654",
            "fax_number": "254-294-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "ELBERT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "R.PH., J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "28417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "28417",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.