MINCY MATHEW (NPI# 1306450499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306450499 |
| Entity Type | Individual |
| Full Name | MINCY MATHEW |
| Practice Address |
2105 Avenue F Nw Childress TX 79201-2219 |
| Mailing Address |
3165 Brianna Dr Frisco TX 75033-8085 |
| Practice Telephone | 9409378242 |
| Mailing Telephone | 2678445175 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 63976 | TX | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 W 11th St, Quanah, TX 792525214 | 9406632733 | 9406632755 |
| Street Address |
2105 AVENUE F NW |
| City | CHILDRESS |
| State | TX |
| Zip Code | 79201-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073504460 | United Supermarkets, L.L.C. | Durable Medical Equipment & Medical Supplies | 2105 Avenue F Nw, Childress, TX 79201-2219 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567684 | Amie Hope Thomas | Counselor | 132 N Main St Ste D, Childress, TX 79201 | 2019-09-16 |
| 1710465182 | Tara Sims | Counselor | 101 Avenue C Ne, Childress, TX 79201 | 2018-07-30 |
| 1013391242 | Amanda Jo Browning Tucker | Optometrist | 707 Avenue F Nw, Childress, TX 79201 | 2015-07-17 |
| 1811332257 | Childress Outpost Pharmacy Inc | Pharmacy | 805 Hwy 83 N., Childress, TX 79201 | 2013-04-29 |
| 1700196748 | Cheryl Lynn Gary | Nurse Practitioner | 901 Hwy 83, Childress, TX 79201 | 2010-10-08 |
| 1205093341 | Dr Lendon Davis | Optometrist | 500 2nd St Ne, Childress, TX 79201 | 2008-05-16 |
| 1871777805 | Aimee Bowman | Physical Therapist | 901 Hwy 83 North, Childress, TX 79201 | 2007-12-27 |
| 1386726628 | Joseph Steele | Anesthesiology | 901 Highway 83 North, Childress, TX 79201 | 2006-10-19 |
| 1235220880 | Peter N Jones | Nurse Practitioner | 1001 Us Hwy 83 N, Childress, TX 79201 | 2006-09-27 |
| 1174625362 | Childress County Hospital District | Clinic/Center | 910 Rear Oak Lane, Childress, TX 79201 | 2006-09-01 |
| Find all providers in zip 79201 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910281 | Jimmie Carl Baker | Pharmacist | 2801 Avenue F Nw, Childress, TX 79201-2229 | 2019-09-05 |
| 1609228501 | Carl Stingel | Pharmacist | 2801 Avenue F Nw, Childress, TX 79201-2229 | 2016-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316754 | Shari Diane Mcdaniel | Pharmacist | 13300 Bugatti Dr, Frisco, TX 75033-0918 | 2020-11-07 |
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1669073433 | Josephine S Asamoah | Pharmacist | 3820 Tx-64, Tyler, TX 75704-5582 | 2020-11-06 |
| 1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
| 1033710876 | Vy Ngoc Tran | Pharmacist | 3726 Varna Ct, Missouri City, TX 77459-5510 | 2020-11-06 |
| 1912508748 | James E Branch | Pharmacist | 1565 Salado Trl, Weatherford, TX 76087-2162 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1790386738 | Jennifer O Jackson | Pharmacist | 1900 Ese Loop323, Tyler, TX 75701-8337 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.