Amber D Mathias-Hodges, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15387 Issued in OK

Practice address

1101 E Prospect Ave
Ponca City, OK 74601-1701

Phone

(580) 765-0152

NPI assigned

Dec 3, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Ponca City, OK
  • NPI 1134146251
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1841895091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2797",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746022797",
            "telephone_number": "405-838-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E PROSPECT AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011701",
            "telephone_number": "580-765-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIAS-HODGES",
        "first_name": "AMBER",
        "middle_name": "D",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "15387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Beth Marr, APRN
• Trista Martin, MSW
• Ginny Rebecca Mashburn, LPN
• Tracy Mast, APRN
• Janet Marie Matheson, MS LPC
• Mayer Eye Care, Inc
• Tatyana Victoria Mayer, OD
• Mays Drug Stores in
• Ann Mayse, M.ED., LPC
• Paul Donovan McAreavey, RPT

• Pharmacist in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.