Active NPI
Matthew Mitchell, PHARM.D.
- Pharmacist
- Zanesville, OH
National Provider Identifier
1255701504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03334882
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03334882 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Equip, LLC | Past | 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.
-
- Community/Retail Pharmacy
- Cambridge, OH
- NPI 1417400813
-
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1285688119
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.