Pamela Taylor Mattocks, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

08449 Issued in NC

Practice address

2655 Reilly St BLDG 4-1571
Fort Bragg, NC 28310-8757

Phone

(910) 908-8392

Fax

(910) 432-9527

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1538737853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 REILLY ST BLDG 4-1571",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283108757",
            "telephone_number": "910-908-8392",
            "fax_number": "910-432-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 REILLY ST BLDG 4-1571",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283108757",
            "telephone_number": "910-908-8392",
            "fax_number": "910-432-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOCKS",
        "first_name": "PAMELA",
        "middle_name": "TAYLOR",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "08449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Jones Matherly, PA C
• Sara Marsico Mathews, PT
• Sofia Matta, M.D.
• Joseph Michael Matthews, MD
• Peter Joseph Mattingly, M.D.
• Terry Hansen Matz, LCSW, LMSW
• Ronald Allen Maul, D.O.
• Daniel Maurer, PHD
• Claire Angela Maxey, MD
• Charles I. Maxwell, D.O.

• Pharmacist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.