Active NPI
William Matthews, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1013501055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30045
- Practice address
- 9805 Rocky River Rd
Charlotte, NC 28215-8922 - Phone
- (704) 918-0267
- NPI assigned
- Feb 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30045 | NC | Primary |
Addresses
Primary practice location
9805 Rocky River Rd
Charlotte, NC 28215-8922
Mailing address
1112 Thoroughbred PL NW
Concord, NC 28027-8683
Phone (704) 918-0267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30045 | Other | NC | NCBOP LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | RXCONNECT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30045 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613779200000",
"number": "1013501055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 THOROUGHBRED PL NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280278683",
"telephone_number": "704-918-0267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9805 ROCKY RIVER RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282158922",
"telephone_number": "704-918-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-20",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBOP LICENSE",
"identifier": "30045",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "RXCONNECT",
"affiliation": "N",
"address_1": "9805 Rocky River Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282158922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.