Matthew Braden Dill, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

46248 Issued in TN

Practice address

220 Foothills Mall Dr
Maryville, TN 37801-5516

Phone

(865) 379-7899

NPI assigned

Jun 23, 2022

Sex

Male

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

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Maryville, TN
  • NPI 1477568491
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1689305336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FOOTHILLS MALL DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378015516",
            "telephone_number": "865-379-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FOOTHILLS MALL DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378015516",
            "telephone_number": "865-379-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "MATTHEW",
        "middle_name": "BRADEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "46248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Marie Devine, LMSW
• Tonya Deynzer
• Dialysis Clinic Inc.
• Dialysis Clinic Inc.
• Kelly L Dickens, LCSW
• Andrea Dishner, NP
• Jared Dix, OD
• Terri Lynn Dobson
• Holly Dockery
• Alec Doede, LPC/MHSP

• Pharmacist in Maryville, TN
• Providers in Maryville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.