Candice S Mathis, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

27315 Issued in AL

Practice address

501 Main St
Gatesville, NC 27938-9424

Phone

(252) 357-1226

Fax

(252) 357-1236

NPI assigned

May 9, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1295224772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279380297",
            "telephone_number": "252-357-1226",
            "fax_number": "252-357-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279389424",
            "telephone_number": "252-357-1226",
            "fax_number": "252-357-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2869 Virginia Rd",
            "address_purpose": "LOCATION",
            "city": "Tyner",
            "state": "NC",
            "postal_code": "279809777",
            "country_code": "US",
            "telephone_number": "252-221-1033",
            "fax_number": "252-221-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "CANDICE",
        "middle_name": "S",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "27315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Davis Housing Group

• Pharmacist in Gatesville, NC
• Providers in Gatesville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.