Mathew Udo Mathew

Primary specialty

PharmacistTaxonomy code 183500000X

License

021362 Issued in LA

Practice address

806 Odd Fellows Rd
Crowley, LA 70526-2214

Phone

(337) 783-8316

NPI assigned

Nov 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co.

  • Pharmacy
  • Crowley, LA
  • NPI 1174553291
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1104299452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 ODD FELLOWS RD",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262214",
            "telephone_number": "337-783-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ODD FELLOWS RD",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262214",
            "telephone_number": "337-783-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "MATHEW",
        "middle_name": "UDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "021362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Marcantel
• Maria Hebert, LCSW, Inc
• Agra Martin
• Lawrence Martin IV
• Sandra F Marx, DC
• Taylor Sue Mayer, PLPC
• Tiffany Mayer, RPH
• Megan Page McAtee, APRN, FNP-C
• Andrew McFarlain, CRNA
• Nolia M McGee, DPM

• Pharmacist in Crowley, LA
• Providers in Crowley, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.