Individual provider Active NPI

Conward Matthew Swift II, PHARMD, MBA

  • Pharmacist
  • Quincy, IL
National Provider Identifier
1326698440
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051301325 Issued in IL
Practice address
5211 Broadway St
Quincy, IL 62305-9122
Phone
(217) 228-2331
NPI assigned
Sep 19, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051301325 IL Primary

Addresses

Primary practice location

5211 Broadway St
Quincy, IL 62305-9122

Mailing address

1811 S 24TH St Apt G
Quincy, IL 62301-6980
Phone (618) 580-7156

Other names 1

  • Conward Matthew Swift Other name

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
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051301325ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1326698440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 S 24TH ST APT G",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623016980",
            "telephone_number": "618-580-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623059122",
            "telephone_number": "217-228-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "CONWARD",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051301325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONWARD",
            "last_name": "SWIFT",
            "middle_name": "MATTHEW",
            "credential": "PHARMD, MBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.