Active NPI
Malcolm Matheson, PHARMD
- Pharmacist
- Indian Land, SC
National Provider Identifier
1821401878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12200
- Practice address
- 10048 Charlotte Hwy
Indian Land, SC 29707-7135 - Phone
- (803) 802-1818
- NPI assigned
- Jun 7, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12200 | SC | Primary |
| Pharmacist | 183500000X | 23877 | NC |
Addresses
Primary practice location
10048 Charlotte Hwy
Indian Land, SC 29707-7135
Mailing address
10048 Charlotte Hwy
Indian Land, SC 29707-7135
Phone (803) 802-1818
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 |
|---|---|---|---|
| 23877 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402099200000",
"number": "1821401878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10048 CHARLOTTE HWY",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077135",
"telephone_number": "803-802-1818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10048 CHARLOTTE HWY",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077135",
"telephone_number": "803-802-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHESON",
"first_name": "MALCOLM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-07",
"last_updated": "2014-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12200",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.