Jenny Mathew, PHARMD, BCPPS

Primary specialty

PharmacistTaxonomy code 183500000X

License

17081 Issued in OK

Practice address

1701 E 15TH St
Tulsa, OK 74104-4608

Phone

(918) 743-6383

NPI assigned

Sep 30, 2022

Sex

Female

Sole proprietor

Yes

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.

• Oklahoma CVS Pharmacy LLC

  • Pharmacy
  • Enid, OK
  • NPI 1407278260
  NPD (past)
• Oklahoma CVS Pharmacy LLC

  • Pharmacy
  • Tulsa, OK
  • NPI 1851827059
  NPD (past)

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1780308908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044608",
            "telephone_number": "918-743-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "JENNY",
        "credential": "PHARMD, BCPPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "17081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Matheson
• Mykena Matheson, OTR
• Divya Mathew
• Diya Mathew
• Jean Mathew, DO
• Rachel Mathew, APRN-CNP
• Sean Joseph Mathew
• Shelby Sabin Mathew, PHARM.D.
• Angela Lynn Mathews, MS, LPC CANDIDATE
• Eva Renee Mathews, MSW

• Pharmacist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.