Active NPI
Anju S. Mathew, PHARM.D.
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1245386903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP442531
- Practice address
- 9880 Bustleton Ave Ste 332
Philadelphia, PA 19115-2144 - Phone
- (215) 827-1680
- Fax
- (215) 827-1394
- NPI assigned
- Jan 26, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP442531 | PA | Primary |
Addresses
Primary practice location
9880 Bustleton Ave Ste 332
Philadelphia, PA 19115-2144
Mailing address
9880 Bustleton Ave Ste 332
Philadelphia, PA 19115-2144
Phone (215) 827-1680
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 |
|---|---|---|---|
| RP442531 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1245386903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9880 BUSTLETON AVE STE 332",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152144",
"telephone_number": "215-827-1680",
"fax_number": "215-827-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9880 BUSTLETON AVE STE 332",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152144",
"telephone_number": "215-827-1680",
"fax_number": "215-827-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ANJU",
"middle_name": "S.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP442531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.