Matthew Lee Pennington, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

53102 Issued in TX

Practice address

6250 US Highway 83
Pharmacy
Abilene, TX 79606-5215

Phone

(325) 428-1600

NPI assigned

Jul 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• James McCoy Drug Store Inc

  • Community/Retail Pharmacy
  • Abilene, TX
  • NPI 1528175387
  NPD

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1255747879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 INDEPENDENCE BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796014776",
            "telephone_number": "325-201-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 US HIGHWAY 83",
            "address_2": "PHARMACY",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065215",
            "telephone_number": "325-428-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "MATTHEW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gelenie Bie Pecjo
• Kara Lyn Peery, LPC ASSOCIATE
• Samuel Kyle Pendleton, CRNA
• Melisa Pendley, LCDC
• Sue Annette Penn, R.PH.
• Robert Wayne Penton, LCSW
• Citlali Perales-Garcia
• Jessica Lyn Perini
• David Perkins, LCSW
• Rebecca J'Nae Perkins, FNP-C

• Pharmacist in Abilene, TX
• Providers in Abilene, TX by specialty
• Pharmacist in Texas

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

Verify at the official NPI Registry.