Carmen Negrete Matthis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0010411 Issued in OR

Practice address

3013 NW Stewart Pkwy
Roseburg, OR 97471-1612

Phone

(541) 957-9236

NPI assigned

Nov 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1699042218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 WESTVIEW DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718525",
            "telephone_number": "541-673-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711612",
            "telephone_number": "541-957-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIS",
        "first_name": "CARMEN",
        "middle_name": "NEGRETE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0010411",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "29766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn Martin, DMD
• William Thomas Martin
• Melrose Mona Ellan Mask, PSS
• Isabella J Mast
• Roland Price Matthews
• Kyle G Matz, LMFT
• Nichole Renne Matz, BS
• Carly Mauch, PA-C
• Joe Maxey, BS
• Joy L Maxwell, RN

• Pharmacist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.