Active NPI
Matthew W Warren, PHARMD
- Pharmacist
- Shelby, NC
National Provider Identifier
1083863443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19788
- Practice address
- 1194 Wyke Rd
Shelby, NC 28150-4259 - Phone
- (704) 482-4457
- Fax
- (704) 487-5427
- NPI assigned
- Sep 10, 2008
- Last updated
- Nov 28, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 19788 | NC | Primary |
Addresses
Primary practice location
1194 Wyke Rd
Shelby, NC 28150-4259
Mailing address
1194 Wyke Rd
Shelby, NC 28150-4259
Phone (704) 482-4457
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Family Pharmacy | Pharmacist | Current | Accepting new patients |
Locations
1194 Wyke Rd
Shelby, NC 28150
Phone (704) 482-4457
Organizations & group practices 1
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": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1083863443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1194 WYKE RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504259",
"telephone_number": "704-482-4457",
"fax_number": "704-487-5427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1194 WYKE RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504259",
"telephone_number": "704-482-4457",
"fax_number": "704-487-5427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "MATTHEW",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-10",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.