Individual provider · Type 1 NPI

Koshy Mathew, PharmD, MBA, DAAPM

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Madison, MS

NPI number 1508311028 Active

Practice location

122 Mcdill Cv
Madison, MS 39110-6562

Call (224) 805-0156 Map

Fax (601) 988-1701

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X051040606 (IL)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XP13348 (MS)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X016949 (KY)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X0000038112 (TN)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018XPST020543 (LA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018XPD12676 (AR)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X0014078 (OR)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X22406 (MD)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X14533 (NE)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018XS020551 (AZ)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X0202213181 (VA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X54965 (TX)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018XPS52242 (FL)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X17998 (AL)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X15851 (OK)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: 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.

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About NPI 1508311028

Koshy Mathew, PharmD, MBA, DAAPM's National Provider Identifier is 1508311028, issued on Aug 25, 2016. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Madison, MS. The record was last updated on Aug 25, 2016.