Active NPI
John Mathias
- Pharmacist
- Lancaster, OH
National Provider Identifier
1881117786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03120390
- Practice address
- 1141 E Main St
Lancaster, OH 43130-4056 - Phone
- (740) 653-0410
- NPI assigned
- Jul 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03120390 | OH | Primary |
Addresses
Primary practice location
1141 E Main St
Lancaster, OH 43130-4056
Mailing address
10151 Fairfield Farms Dr
Canal Winchester, OH 43110-7907
Phone (614) 975-5976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361889 | Other | NABP |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03120390 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500768000000",
"number": "1881117786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 FAIRFIELD FARMS DR",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431107907",
"telephone_number": "614-975-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 E MAIN ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431304056",
"telephone_number": "740-653-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIAS",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-23",
"last_updated": "2017-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03120390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "361889",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.