Individual provider Active NPI

Matthew Robert Andrews, DOCTOR OF PHARMACY

  • Pharmacist
  • Jeffersontown, KY
National Provider Identifier
1154542777
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
013767 Issued in KY
Practice address
10216 Taylorsville Rd
Jeffersontown, KY 40299-3616
Phone
(502) 267-7453
Fax
(502) 267-7455
NPI assigned
May 1, 2007
Last updated
Dec 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 013767 KY Primary

Addresses

Primary practice location

10216 Taylorsville Rd
Jeffersontown, KY 40299-3616

Mailing address

2556 Wilsonville Rd
Fisherville, KY 40023-8434
Phone (502) 407-7465

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

State licenses

LicenseStateTypeSpecialty
013767KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Meds Inc Current Accepting new patients
Ap Shelbyville, Inc Current Accepting new patients
Andrews Medical, LLC Current Accepting new patients

Locations

10216 Taylorsville Rd
Louisville, KY 40299
Phone (502) 267-7453

Organizations & group practices 4

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1154542777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 WILSONVILLE RD",
            "city": "FISHERVILLE",
            "state": "KY",
            "postal_code": "400238434",
            "telephone_number": "502-407-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 TAYLORSVILLE RD",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402993616",
            "telephone_number": "502-267-7453",
            "fax_number": "502-267-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersontown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.