Individual provider Active NPI

Matthew Charles McNitt, PHARMD

  • Pharmacist
  • Republic, MO
National Provider Identifier
1861970816
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2011021454 Issued in MO
Practice address
1173 E Hines St
Republic, MO 65738
Phone
(417) 735-0055
NPI assigned
Aug 1, 2018
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2011021454 MO Primary

Addresses

Primary practice location

1173 E Hines St
Republic, MO 65738

Mailing address

4062 W Republic Rd
Battlefield, MO 65619-7108
Phone (417) 730-1456

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

LicenseStateTypeSpecialty
2011021454MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Battlefield Pharmacy Current Accepting new patients
Battlefield Pharmacy Current Accepting new patients

Locations

4062 W Republic Rd
Battlefield, MO 65619
Phone (417) 730-1456

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1861970816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 W REPUBLIC RD",
            "city": "BATTLEFIELD",
            "state": "MO",
            "postal_code": "656197108",
            "telephone_number": "417-730-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 E HINES ST",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "65738",
            "telephone_number": "417-735-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNITT",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2011021454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Republic, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.