Dr Koshy Mathew, PHARMD, MBA, DAAPM is a
Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Madison, Mississippi. Dr Koshy Mathew is licensed to practice in Mississippi (license number P13348) and his current practice location is
122 Mcdill Cv, Madison, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(224) 805-0156.
NPI number for Dr Koshy Mathew is 1508311028 and his current mailing address is 122 Mcdill Cv, Madison, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508311028.
Healthcare Provider's Profile
| Full Name | Dr Koshy Mathew |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
|---|
| Location | 122 Mcdill Cv, Madison, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508311028
- Provider Enumeration Date: 08/25/2016
- Last Update Date: 08/25/2016
Medical Identifiers
Medical identifiers for Dr Koshy Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508311028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 051040606 (Illinois) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | P13348 (Mississippi) | Primary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 016949 (Kentucky) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 0000038112 (Tennessee) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | PST020543 (Louisiana) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | PD12676 (Arkansas) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 0014078 (Oregon) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 22406 (Maryland) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 14533 (Nebraska) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | S020551 (Arizona) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 0202213181 (Virginia) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 54965 (Texas) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | PS52242 (Florida) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 17998 (Alabama) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 15851 (Oklahoma) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Koshy Mathew is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Koshy Mathew, PHARMD, MBA, DAAPM
122 Mcdill Cv,
Madison, MS 39110-6562
Ph: (224) 805-0156 | Dr Koshy Mathew, PHARMD, MBA, DAAPM
122 Mcdill Cv,
Madison, MS 39110-6562
Ph: (224) 805-0156 |
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