Healthcare Provider Details

I. General information

NPI: 1760717169
Provider Name (Legal Business Name): MATTHEW FLOYD THORNBROUGH PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2009
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41934 HIGHWAY 12 SUITE 12
AVON NC
27915-0660
US

IV. Provider business mailing address

PO BOX 660
AVON NC
27915-0660
US

V. Phone/Fax

Practice location:
  • Phone: 252-995-3811
  • Fax: 252-995-7955
Mailing address:
  • Phone: 252-995-3811
  • Fax: 252-995-7955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20398
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: