Active NPI
Cheriyan Mathew
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Port Charlotte, FL
National Provider Identifier
1972429157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS29919
- Practice address
- 2500 Harbor Blvd
Port Charlotte, FL 33952-5000 - Phone
- (941) 766-4557
- NPI assigned
- Jun 24, 2026
- Last updated
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS29919 | FL | Primary |
Addresses
Primary practice location
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Mailing address
10708 Planer Picket Dr
Riverview, FL 33569-5614
Phone (941) 766-4557
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1972429157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10708 PLANER PICKET DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695614",
"telephone_number": "941-766-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HARBOR BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525000",
"telephone_number": "941-766-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "CHERIYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS29919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.