Individual provider Active NPI

William Stuart Matthis, PHARMD

  • Pharmacist
  • Gastonia, NC
National Provider Identifier
1306355276
Registry record updated Sep 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27440 Issued in NC
Practice address
2465 S New Hope Rd
Gastonia, NC 28054-8433
Phone
(704) 810-9912
Fax
(704) 810-9851
NPI assigned
Sep 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27440 NC Primary

Addresses

Primary practice location

2465 S New Hope Rd
Gastonia, NC 28054-8433

Mailing address

9624 Devonshire Dr
Huntersville, NC 28078-4858
Phone (704) 778-8052

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

LicenseStateTypeSpecialty
27440NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506124800000",
    "number": "1306355276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 DEVONSHIRE DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784858",
            "telephone_number": "704-778-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 S NEW HOPE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280548433",
            "telephone_number": "704-810-9912",
            "fax_number": "704-810-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIS",
        "first_name": "WILLIAM",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-23",
        "last_updated": "2017-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2017; 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.