Active NPI
Samantha Anne Mathews, PHARM.D.
- Pharmacist
- Gardena, CA
National Provider Identifier
1215286703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67954
- Practice address
- 2169 W Redondo Beach Blvd
Gardena, CA 90247-3625 - Phone
- (310) 515-3783
- NPI assigned
- Aug 30, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67954 | CA | Primary |
| Pharmacist | 183500000X | 051296027 | IL |
Addresses
Primary practice location
2169 W Redondo Beach Blvd
Gardena, CA 90247-3625
Mailing address
654 1St PL Apt 2
Hermosa Beach, CA 90254-5232
Phone (815) 351-1100
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 |
|---|---|---|---|
| 67954 | CA | MD | Pharmacist |
| 051296027 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410652800000",
"number": "1215286703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 1ST PL APT 2",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902545232",
"telephone_number": "815-351-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2169 W REDONDO BEACH BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473625",
"telephone_number": "310-515-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "SAMANTHA",
"middle_name": "ANNE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2014-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67954",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051296027",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.