Active NPI
Michele Anne Mathews, RPH
- Pharmacist
- Mogadore, OH
National Provider Identifier
1861819427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03314484
- Practice address
- 472 Cresthill Dr
Mogadore, OH 44260-9527 - Phone
- (330) 699-4184
- NPI assigned
- Mar 20, 2014
- Sex
- Female
- 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 | 03314484 | OH | Primary |
| Pharmacist | 183500000X | 06477 | NC |
Addresses
Primary practice location
472 Cresthill Dr
Mogadore, OH 44260-9527
Mailing address
472 Cresthill Dr
Mogadore, OH 44260-9527
Phone (330) 699-4184
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06477 | NC | MD | Pharmacist |
| 03314484 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1861819427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 CRESTHILL DR",
"city": "MOGADORE",
"state": "OH",
"postal_code": "442609527",
"telephone_number": "330-699-4184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 CRESTHILL DR",
"city": "MOGADORE",
"state": "OH",
"postal_code": "442609527",
"telephone_number": "330-699-4184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "MICHELE",
"middle_name": "ANNE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03314484",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "06477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mogadore, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.