Dr. Clinton J Thackeray
Dr. Clinton J Thackeray is a Pharmacist provider (Pharmacist) practicing in Rigby, ID, registered in the NPPES registry with NPI 1780937151 since 2012. Practices at Broulim Supermarkets, LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780937151 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Clinton J Thackeray |
| Sex | Male |
| Practice address | 150 N STATE ST, Rigby, ID, 83442 |
| Phone | 2087450267 |
| Enumeration date | 2012-10-22 |
| Last updated in NPPES | 2016-04-19 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | P6368 | ID |
Copy-ready billing details
Provider: Clinton Thackeray NPI: 1780937151 Taxonomy: 183500000X (Pharmacist) Address: 150 N STATE ST, Rigby, ID, 83442
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720132178 | Broulim Supermarkets, LLC | Organization | Community/Retail Pharmacy | Rigby, ID |
| 1528242807 | Jason Watts | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Rigby, ID |
| 1912319799 | Garret Portela | Individual | Pharmacist | Rigby, ID |
| 1316314842 | Marc Anderson | Individual | Pharmacist | Rigby, ID |
| 1083161186 | Nathaniel Brown | Individual | Pharmacist | Rigby, ID |
| 1891357802 | Oscar Waldo | Individual | Pharmacist | Rigby, ID |
Verify this record
Cross-check NPI 1780937151 against the authoritative CMS record: view Dr. Clinton J Thackeray on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1780937151 active?
How do I verify Clinton Thackeray's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-19.