Active NPI
Matthew Charles Knoth, PHARMD, BCPS, BCNSP
- Ambulatory Care Pharmacist
- Prescott, AZ
National Provider Identifier
1265817696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 26023176A
- Practice address
- 500 N Hwy 89
Prescott VA Facility
Prescott, AZ 86313 - Phone
- (765) 491-6859
- NPI assigned
- Jul 27, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26023176A | IN | |
| Nutrition Support Pharmacist | 1835N1003X | 26023176A | IN | |
| Pharmacotherapy Pharmacist | 1835P1200X | 26023176A | IN | |
| Ambulatory Care Pharmacist | 1835P2201X | 26023176A | IN | Primary |
Addresses
Primary practice location
500 N Hwy 89
Prescott VA Facility
Prescott, AZ 86313
Mailing address
500 N Hwy 89
Pharmacy Department
Prescott, AZ 86313
Phone (765) 491-6859
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 |
|---|---|---|---|
| 26023176A | IN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1265817696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N HWY 89",
"address_2": "PHARMACY DEPARTMENT",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "765-491-6859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N HWY 89",
"address_2": "PRESCOTT VA FACILITY",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "765-491-6859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOTH",
"first_name": "MATTHEW",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS, BCNSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2022-03-01",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26023176A",
"primary": false
},
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "IN",
"license": "26023176A",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IN",
"license": "26023176A",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "IN",
"license": "26023176A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.