Jennifer Mathis

Primary specialty

PharmacistTaxonomy code 183500000X

License

7344 Issued in TN

Practice address

365 New Shackle Island Rd
Hendersonville, TN 37075-2328

Phone

(615) 826-1323

Fax

(615) 826-6694

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

Yes

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
  • Hendersonville, TN
  • NPI 1376550384
  NPD
• Walgreen Co

  • Pharmacy
  • Hermitage, TN
  • NPI 1538176532
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1124303359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752328",
            "telephone_number": "615-826-1323",
            "fax_number": "615-826-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 NEW SHACKLE ISLAND RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752328",
            "telephone_number": "615-826-1323",
            "fax_number": "615-826-6694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Old Hickory Blvd",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762566",
            "country_code": "US",
            "telephone_number": "615-889-9202 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "7344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eryn Mason
• Linda Mason
• Ayla Massey
• Alex Javier Matas, PHARMD
• Elizabeth Leanne Matheny, REGISTERED NURSE
• Macey Leigh Matthews, APRN
• Tonia Marta Matwijczuk, P.T..
• Katherine Maulden, LCSW
• Caroline Mauldin, FNP-C
• Lyssa Max

• Pharmacist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.