Peter M Mathenge

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

50554 Issued in TX

Practice address

818 Ringold St
Houston, TX 77088-6368

Phone

(281) 260-3443

NPI assigned

Aug 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Peter M Mathenge Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elight Hospice LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1497463806
  NPD Authorized official

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1336628825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 RINGOLD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770886368",
            "telephone_number": "281-513-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 RINGOLD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770886368",
            "telephone_number": "281-260-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHENGE",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TX",
            "license": "50554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "50554",
            "identifier": "50554",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "MATHENGE",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jaimol J Mathai, PHARM D
• Sherly Raju Mathai, RPH
• Varghese Mathai, PA-C
• Susan Mathara
• Shelley Marie Mathay
• Danielle Leigh Mather, PHARM.D.
• Marcy Lynn Mather, M.S. CCC-SLP
• Elizabeth Matheson, C.R.N.A.
• Lara Seltz Matheson, M.D.
• Maryann Cunningham Matheson, NP

• Ambulatory Care Pharmacist in Houston, TX
• Providers in Houston, TX by specialty
• Ambulatory Care Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.