Active NPI
Matthew Tyler Jones, PHARM. D.
- Pharmacist
- Indian Land, SC
National Provider Identifier
1992356836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42127
- Practice address
- 6271 Carolina Commons Dr
Indian Land, SC 29707-5980 - Phone
- (803) 802-5300
- NPI assigned
- Sep 23, 2019
- 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 | 42127 | SC | Primary |
Addresses
Primary practice location
6271 Carolina Commons Dr
Indian Land, SC 29707-5980
Mailing address
102 Mountainrock VW
Easley, SC 29642-3313
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | s000pfl087@harristeeter.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42127 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1992356836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MOUNTAINROCK VW",
"city": "EASLEY",
"state": "SC",
"postal_code": "296423313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6271 CAROLINA COMMONS DR",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297075980",
"telephone_number": "803-802-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MATTHEW",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42127",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "s000pfl087@harristeeter.com",
"affiliation": "N",
"address_1": "6271 Carolina Commons Dr",
"city": "Indian Land",
"state": "SC",
"country_code": "US",
"postal_code": "297075980",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.