Active NPI
Matthew Smith
- Pharmacist
- Hondo, TX
National Provider Identifier
1780302174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71069
- Practice address
- 609 19TH St
Hondo, TX 78861-2504 - Phone
- (830) 426-5312
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 71069 | TX | Primary |
Addresses
Primary practice location
609 19TH St
Hondo, TX 78861-2504
Mailing address
1749 N FM 1049
Knippa, TX 78870-1027
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71069 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Hondo, TX
- NPI 1417066820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1780302174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 N FM 1049",
"city": "KNIPPA",
"state": "TX",
"postal_code": "788701027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 19TH ST",
"city": "HONDO",
"state": "TX",
"postal_code": "788612504",
"telephone_number": "830-426-5312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hondo, TX
- San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
- Tanya Marie Seay, SLP
- Shelly Blaker OD PC
- Shelly Blaker OD PC
- Smile Farm LLC
- South Texas Rural Health Services, Inc.
- Stewardship at Home Primary Health Care PLLC
- Texas Emergency Room Services, PA
- Meaghan Nicol Timberlake, APRN, MSN, FNP-C
- TKR Counseling Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.