Active NPI
Ann Mary Mathew, RPH
- Pharmacist
- Ft Belvoir, VA
National Provider Identifier
1689949604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047529
- Practice address
- 9501 Farrell Rd
Ft Belvoir, VA 22060-5901 - Phone
- (571) 231-3224
- Fax
- (571) 231-3224
- NPI assigned
- Mar 9, 2012
- 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 | 047529 | NY | Primary |
Addresses
Primary practice location
9501 Farrell Rd
Ft Belvoir, VA 22060-5901
Mailing address
9300 Dewitt Loop Rd
Ft Belvoir, VA 22060-5901
Phone (571) 231-3224
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047529 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1689949604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP RD",
"city": "FT BELVOIR",
"state": "VA",
"postal_code": "220605901",
"telephone_number": "571-231-3224",
"fax_number": "571-231-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 FARRELL RD",
"city": "FT BELVOIR",
"state": "VA",
"postal_code": "220605901",
"telephone_number": "571-231-3224",
"fax_number": "571-231-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ANN",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-09",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.