Mattie A Phipps, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202011226 Issued in VA

Practice address

185 S Main St
Hillsville, VA 24343-1502

Phone

(276) 728-2731

Fax

(276) 728-3502

NPI assigned

Aug 30, 2021

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

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Phipps Enterprise Inc

  • Community/Retail Pharmacy
  • Hillsville, VA
  • NPI 1295828408
  NPD Authorized official

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1790453447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 CHIHUAHUA RUN LANE",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "24333",
            "telephone_number": "276-236-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S MAIN ST",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431502",
            "telephone_number": "276-728-2731",
            "fax_number": "276-728-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "MATTIE",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Goad Osborne, FNP-BC
• Christopher Shane Owens, LPTA
• Manuel Perez
• Emily Sikes Petanovich, O.D.
• Phipps Enterprise Inc
• Ethan Pratt
• PT Solutions, LLC
• Joshua S Ramey, DDS
• Anna Reavis, DNP, FNP-C
• Rejuvenate Medical Innovations

• Pharmacist in Hillsville, VA
• Providers in Hillsville, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.