Active NPI
Matthew Earl Crist, PHARMD
- Pharmacist
- Warner Robins, GA
National Provider Identifier
1275879991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020254
- Practice address
- 1081 Ga Highway 96
Warner Robins, GA 31088-2507 - Phone
- (478) 987-7494
- NPI assigned
- Dec 28, 2012
- 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 | RPH020254 | GA | Primary |
Addresses
Primary practice location
1081 Ga Highway 96
Warner Robins, GA 31088-2507
Mailing address
240 Old Dixie Rd
Macon, GA 31217-2408
Phone (478) 986-2572
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 |
|---|---|---|---|
| RPH020254 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1275879991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 OLD DIXIE RD",
"city": "MACON",
"state": "GA",
"postal_code": "312172408",
"telephone_number": "478-986-2572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 GA HIGHWAY 96",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310882507",
"telephone_number": "478-987-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIST",
"first_name": "MATTHEW",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-28",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.