Active NPI
Anish Mathew, RPH
- Pharmacist
- Clermont, FL
National Provider Identifier
1780965707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41912
- Practice address
- 1600 US Highway 27
Clermont, FL 34714-5890 - Phone
- (352) 242-4563
- NPI assigned
- Sep 3, 2011
- Sex
- Male
- 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 | PS41912 | FL | Primary |
Addresses
Primary practice location
1600 US Highway 27
Clermont, FL 34714-5890
Mailing address
13561 Tenbury Wells Way
Winter Garden, FL 34787-4760
Phone (407) 573-0237
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 |
|---|---|---|---|
| PS41912 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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.
-
- Pharmacy
- Clermont, FL
- NPI 1902811185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315008000000",
"number": "1780965707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13561 TENBURY WELLS WAY",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874760",
"telephone_number": "407-573-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 US HIGHWAY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347145890",
"telephone_number": "352-242-4563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ANISH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-03",
"last_updated": "2011-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.