Individual provider Active NPI

Matt W McKee, RPH.

  • Pharmacist
  • Memphis, MO
National Provider Identifier
1730152901
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2004028311 Issued in MO
Practice address
445 E Grand Ave
Memphis, MO 63555-1562
Phone
(660) 465-2400
Fax
(660) 465-2600
NPI assigned
Feb 9, 2006
Last updated
May 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2004028311 MO Primary

Addresses

Primary practice location

445 E Grand Ave
Memphis, MO 63555-1562

Mailing address

RR 1 Box 94M
Memphis, MO 63555-9801
Phone (660) 945-3814

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

LicenseStateTypeSpecialty
2004028311MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland County Pharmacy Inc Current Accepting new patients
Scotland County Pharmacy Inc Current Accepting new patients

Locations

445 E Grand Ave
Memphis, MO 63555
Phone (660) 465-2400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1730152901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 94M",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635559801",
            "telephone_number": "660-945-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E GRAND AVE",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551562",
            "telephone_number": "660-465-2400",
            "fax_number": "660-465-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "MATT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2004028311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.