MINCY MATHEW


Address: 2105 Avenue F Nw, Childress, TX 79201-2219
Phone: 9409378242

MINCY MATHEW (NPI# 1306450499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 63976 TX Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1000 W 11th St, Quanah, TX 792525214 9406632733 9406632755

Office Location

Street Address 2105 AVENUE F NW
City CHILDRESS
State TX
Zip Code 79201-2219

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City CHILDRESS
Zip Code 79201

Improve Information

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Dataset Information

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.

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