Organization Active NPI

Matthews Health Mart

  • Pharmacy
  • Clinton, NC
National Provider Identifier
1821422569
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
02621 Issued in NC
Legal business name
MATTHEWS HEALTH MART
Practice address
408 Northeast Blvd
Clinton, NC 28328-2434
Phone
(910) 592-3121
Fax
(910) 592-3144
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jim Matthews
Title
Owner/Pharmacy Manager
Phone
(910) 592-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 02621 NC Primary

Addresses

Primary practice location

408 Northeast Blvd
Clinton, NC 28328-2434

Mailing address

408 Northeast Blvd
Clinton, NC 28328-2434
Phone (910) 592-3121

Other names 1

  • MATTHEWS DRUG STORE Other name

National Provider Directory

National Provider Directory
Tax ID family
Matthews Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1821422569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-3121",
            "fax_number": "910-592-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-3121",
            "fax_number": "910-592-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS HEALTH MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER/PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-592-3121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "02621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATTHEWS DRUG STORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.