Princy Mathew

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS44715 Issued in FL

Practice address

4701 S Flamingo Rd
Cooper City, FL 33330-2312

Phone

(305) 606-8890

NPI assigned

Dec 2, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1790380285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 REDBERRY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 S FLAMINGO RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333302312",
            "telephone_number": "305-606-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "PRINCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS44715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "PS44715",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "princy.mathew@cvshealth.com",
            "affiliation": "N",
            "address_1": "4701 S Flamingo Rd",
            "city": "Cooper City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333302312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Irene J Marshall, LMFT
• Alfredo Martin, D.M.D.
• Victoria Martin
• Justin Marx, RMHCI
• Luisa Maria Matamoros Ramos
• Maximize Within
• Patrick Mobray McCaghren, LCSW LICENSED CLINIC
• Kristen Appleby McCormick
• Sally McKenney
• Agar McNulty, MS CCC-SLP

• Pharmacist in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.