Active NPI
Matthew Lee Timmons, PHARMD
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1811353667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 53371
- Practice address
- 1200 7TH Ave N
Saint Petersburg, FL 33705-1300 - Phone
- (727) 825-1100
- NPI assigned
- Jan 9, 2016
- Sex
- Male
- Sole proprietor
- No
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 | PS 53371 | FL | Primary |
Addresses
Primary practice location
1200 7TH Ave N
Saint Petersburg, FL 33705-1300
Mailing address
11400 4TH St N Apt 1214
Saint Petersburg, FL 33716-2925
Phone (803) 464-5218
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 53371 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452297600000",
"number": "1811353667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11400 4TH ST N APT 1214",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337162925",
"telephone_number": "803-464-5218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 7TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337051300",
"telephone_number": "727-825-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "MATTHEW",
"middle_name": "LEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-09",
"last_updated": "2016-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 53371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.