Individual provider Active NPI

Blake Andrew Mathis

  • Pharmacist
  • Carmel, IN
National Provider Identifier
1437060555
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26032238A Issued in IN
Practice address
1424 S Rangeline Rd
Carmel, IN 46032-2934
Phone
(317) 571-1176
Fax
(317) 575-0037
NPI assigned
Sep 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26032238A IN Primary

Addresses

Primary practice location

1424 S Rangeline Rd
Carmel, IN 46032-2934

Mailing address

1424 S Rangeline Rd
Carmel, IN 46032-2934
Phone (317) 571-1176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1437060555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 S RANGELINE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322934",
            "telephone_number": "317-571-1176",
            "fax_number": "317-575-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S RANGELINE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322934",
            "telephone_number": "317-571-1176",
            "fax_number": "317-575-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "BLAKE",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26032238A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.