DR. KOSHY MATHEW PHARMD MBA DAAPM NPI 1508311028

NPI Information

NPI: 1508311028
Provider Name: DR. KOSHY MATHEW, PHARMD, MBA, DAAPM
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
122 MCDILL CV
MADISON, MS
ZIP 39110
Phone: (224) 805-0156
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DR. Koshy Mathew, PHARMD, MBA, DAAPM is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Madison, MS. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Koshy Mathew, PHARMD, MBA, DAAPM NPI is 1508311028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

122 MCDILL CV
MADISON, MS
ZIP 39110-562
Phone: (224) 805-0156
Fax: (601) 988-1701

The enumeration date for this NPI number is 8/25/2016 and was last updated on 8/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	051040606	ILLINOIS	No
2	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	016949	KENTUCKY	No
3	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	0000038112	TENNESSEE	No
4	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PST020543	LOUISIANA	No
5	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PD12676	ARKANSAS	No
6	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	0014078	OREGON	No
7	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	22406	MARYLAND	No
8	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	14533	NEBRASKA	No
9	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	S020551	ARIZONA	No
10	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	0202213181	VIRGINIA	No
11	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	54965	TEXAS	No
12	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PS52242	FLORIDA	No
13	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	17998	ALABAMA	No
14	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	15851	OKLAHOMA	No
15	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	P13348	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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