Active NPI
Sharon Maria Mathew, PHARMD
- Ambulatory Care Pharmacist
- Bonham, TX
National Provider Identifier
1205489283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 16070
- Practice address
- 1201 E 93Rd Street
Bonham, TX 75418 - Phone
- (214) 742-8387
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 16070 | NE | Primary |
Addresses
Primary practice location
1201 E 93Rd Street
Bonham, TX 75418
Mailing address
2717 E 93Rd St Apt 104
Tulsa, OK 74137-4604
Phone (678) 769-9112
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 |
|---|---|---|---|
| 16070 | NE | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1205489283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 E 93RD ST APT 104",
"city": "TULSA",
"state": "OK",
"postal_code": "741374604",
"telephone_number": "678-769-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E 93RD STREET",
"city": "BONHAM",
"state": "TX",
"postal_code": "75418",
"telephone_number": "214-742-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "SHARON",
"middle_name": "MARIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "NE",
"license": "16070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.