Individual provider Active NPI

Matthew Deven Raines, PHARM-D

  • Pharmacist
  • Burnsville, NC
National Provider Identifier
1669729554
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14496 Issued in NC
Practice address
418 Mountain View Rd
Burnsville, NC 28714-8432
Phone
(828) 678-3914
Fax
(828) 678-3945
NPI assigned
Aug 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14496 NC Primary

Addresses

Primary practice location

418 Mountain View Rd
Burnsville, NC 28714-8432

Mailing address

418 Mountain View Rd
Burnsville, NC 28714-8432
Phone (828) 678-3914

Other names 1

  • Dr. Matthew Deven Raines Professional 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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
14496NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1669729554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MOUNTAIN VIEW RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287148432",
            "telephone_number": "828-678-3914",
            "fax_number": "828-678-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 MOUNTAIN VIEW RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287148432",
            "telephone_number": "828-678-3914",
            "fax_number": "828-678-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "MATTHEW",
        "middle_name": "DEVEN",
        "name_prefix": "Mr.",
        "credential": "PHARM-D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "RAINES",
            "middle_name": "DEVEN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burnsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.