Keith Matthews, R.PH.
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Edgefield, SC
NPI 1306356993 · NPPES record last updated Oct 9, 2017
Key facts
- NPI
- 1306356993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 9414 (SC)
- Practice address
- 100 Ridge Medical Plaza Rd Ste 101
Edgefield, SC 29824-4556 - Phone
- (803) 637-5757
- Fax
- (803) 637-9996
- NPI assigned
- Oct 9, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9414 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banks Pharmacy | Current | Accepting new patients |
Locations
100 Ridge Medical Plaza Rd
Ste 101
Edgefield, SC 29824
Phone (803) 637-5757
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9414 | SC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 9414 | SC | Yes |
Addresses
Primary practice location
100 Ridge Medical Plaza Rd Ste 101
Edgefield, SC 29824-4556
Mailing address
100 Ridge Medical Plaza Rd Ste 101
Edgefield, SC 29824-4556
Phone (803) 637-5757
Other providers in Edgefield, SC
- Sarah Cook Ledford
- Cheryl H Lindler
- Hector Luis Lopez-Ortiz
- Patrick Meehan Marshall Jr.
- Tami Y Massey
- Elizabeth Rose McNeal
- Christina Covar Mullins
- Stacey Elizabeth Myrick
- Ohio Valley Physicians Inc
- Sherry Leigh Paschal
All providers in Edgefield, SC · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.