Active NPI
Matthew Allen Smith, PHARMD
- Pharmacist
- Kannapolis, NC
National Provider Identifier
1124469747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23441
- Practice address
- 135 Dale Earnhardt Blvd
Kannapolis, NC 28081-0301 - Phone
- (704) 938-6151
- Fax
- (704) 933-9253
- NPI assigned
- Jul 11, 2013
- 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 | 23441 | NC | Primary |
Addresses
Primary practice location
135 Dale Earnhardt Blvd
Kannapolis, NC 28081-0301
Mailing address
135 Dale Earnhardt Blvd
Kannapolis, NC 28081-0301
Phone (704) 938-6151
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 |
|---|---|---|---|
| 23441 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1124469747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 DALE EARNHARDT BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280810301",
"telephone_number": "704-938-6151",
"fax_number": "704-933-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 DALE EARNHARDT BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280810301",
"telephone_number": "704-938-6151",
"fax_number": "704-933-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MATTHEW",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.