Active NPI
Liji Susan Mathew
- Pharmacist
- Royse City, TX
National Provider Identifier
1437759826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44903
- Practice address
- 494 I 30 E
Royse City, TX 75189-7527 - Phone
- (972) 635-2734
- Fax
- (972) 635-2731
- NPI assigned
- Oct 27, 2020
- Last updated
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44903 | TX | Primary |
Addresses
Primary practice location
494 I 30 E
Royse City, TX 75189-7527
Mailing address
494 I 30 E
Royse City, TX 75189-7527
Phone (972) 635-2734
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44903 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1437759826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 I 30 E",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "751897527",
"telephone_number": "972-635-2734",
"fax_number": "972-635-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 I 30 E",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "751897527",
"telephone_number": "972-635-2734",
"fax_number": "972-635-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "LIJI",
"middle_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royse City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.