Individual provider Active NPI

Matthew Mitchell, PHARM.D.

  • Pharmacist
  • Zanesville, OH
National Provider Identifier
1255701504
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03334882 Issued in OH
Practice address
751 Forest Ave Ste 204
Zanesville, OH 43701-2875
Phone
(740) 454-5666
Fax
(740) 452-9514
NPI assigned
Sep 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03334882 OH Primary

Addresses

Primary practice location

751 Forest Ave Ste 204
Zanesville, OH 43701-2875

Mailing address

1132 Taylor St
Zanesville, OH 43701-2658
Phone (740) 454-5666

Other practice location 1

15 N Maysville Ave
Zanesville, OH 43701-6110
Phone (740) 453-3700

Other practice location 2

2899 Bell St
Zanesville, OH 43701-1720
Phone (740) 453-0508

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

LicenseStateTypeSpecialty
03334882OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Equip, LLC PastSince Sep 6, 2020 Accepting new patients
Genesis Healthcare System Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1255701504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 TAYLOR ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012658",
            "telephone_number": "740-454-5666",
            "fax_number": "740-452-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 FOREST AVE STE 204",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012875",
            "telephone_number": "740-454-5666",
            "fax_number": "740-452-9514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 N Maysville Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437016110",
            "country_code": "US",
            "telephone_number": "740-453-3700",
            "fax_number": "740-453-3737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2899 Bell St",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011720",
            "country_code": "US",
            "telephone_number": "740-453-0508",
            "fax_number": "740-455-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MATTHEW",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03334882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.