Active NPI
Paul Damian Mathews, RPH
- Pharmacist
- Clearwater, FL
National Provider Identifier
1285903435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS19493
- Practice address
- 814 Cleveland St
Clearwater, FL 33755-4508 - Phone
- (727) 447-3188
- Fax
- (727) 447-5144
- NPI assigned
- Dec 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | PS19493 | FL | Primary |
Addresses
Primary practice location
814 Cleveland St
Clearwater, FL 33755-4508
Mailing address
1220 7TH St S
Safety Harbor, FL 34695-4101
Phone (727) 726-1451
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS19493 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1285903435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 7TH ST S",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346954101",
"telephone_number": "727-726-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 CLEVELAND ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337554508",
"telephone_number": "727-447-3188",
"fax_number": "727-447-5144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "PAUL",
"middle_name": "DAMIAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-16",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS19493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.