Organization Active NPI

Matthews Inc

  • Community/Retail Pharmacy
  • Clinton, NC
National Provider Identifier
1265554497
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02621 Issued in NC
Legal business name
MATTHEWS INC
Doing business as
MATTHEWS HEALTHMART DRUGS
Practice address
408 Northeast Blvd
Clinton, NC 28328-2434
Phone
(910) 592-4289
Fax
(910) 592-3865
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Authorized official

Name
James Spencer Matthews
Title
Owner, Pharmacist in Charge
Phone
(910) 592-4289

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 02621 NC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

408 Northeast Blvd
Clinton, NC 28328-2434

Mailing address

408 Northeast Blvd
Clinton, NC 28328-2434
Phone (910) 592-2343

Other identifiers 3

IdentifierTypeStateIssuer
7700182MedicaidNC
025109MedicaidNC
2065716OtherPK

Other names 1

  • MATTHEWS HEALTHMART DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131104000588 NC Part B Supplier - Mass Immunization (Roster Biller Only) 9739207895 Practice locations: Clinton, NC

National Provider Directory

National Provider Directory
Tax ID family
Matthews Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1265554497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-2343",
            "fax_number": "910-592-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-4289",
            "fax_number": "910-592-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER, PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "910-592-4289"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "02621",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700182",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025109",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATTHEWS HEALTHMART DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MATTHEWS HEALTHMART DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.