Active NPI
Nimmy Mathews, PHARM D
- Pharmacist
- San Carlos, AZ
National Provider Identifier
1669809992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47088
- Practice address
- 208 Cibecue Circle
San Carlos, AZ 85550 - Phone
- (928) 475-7271
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 47088 | TX | Primary |
Addresses
Primary practice location
208 Cibecue Circle
San Carlos, AZ 85550
Mailing address
6822 S Evening Glow PL
Gold Canyon, AZ 85118-2945
Phone (281) 780-4852
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
| License | State | Type | Specialty |
|---|---|---|---|
| 47088 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1669809992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6822 S EVENING GLOW PL",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851182945",
"telephone_number": "281-780-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 CIBECUE CIRCLE",
"city": "SAN CARLOS",
"state": "AZ",
"postal_code": "85550",
"telephone_number": "928-475-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "NIMMY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.