Matthew Christopher Jerris, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH026710 Issued in GA

Practice address

740 Barrett Pkwy
Kennesaw, GA 30144-6860

Phone

(770) 499-1018

NPI assigned

Jul 5, 2012

Last updated

Jul 5, 2012By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1801151857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 WINTERS CHAPEL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602702",
            "telephone_number": "404-921-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 BARRETT PKWY",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446860",
            "telephone_number": "770-499-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERRIS",
        "first_name": "MATTHEW",
        "middle_name": "CHRISTOPHER",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolonda Jefferson, PT
• Amber Jenkins
• Jaime Laine Jenkins, LPC
• Justin Jenkins, DC
• Tony L Jenkins
• Joanne L Jezequel, D.C.
• Liza Jimenez
• David C Jockers, D.C.
• Kimberlyn N Johnson-Ruise, FNP-C
• Shantel Sharie Johnson-Youngblood

• Pharmacist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.