Individual provider

Koshy Mathew, PHARMD, MBA, DAAPM

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Koshy Mathew, PHARMD, MBA, DAAPM is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Madison, MS, registered under NPI 1508311028.

Getting there

The practice address on file is 122 MCDILL CV, Madison, MS 39110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

122 MCDILL CV, Madison, MS 39110 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
051040606 IL Pharmacist Clinician (PhC)/ Clinical…
P13348 MS Pharmacist Clinician (PhC)/ Clinical… primary
016949 KY Pharmacist Clinician (PhC)/ Clinical…
0000038112 TN Pharmacist Clinician (PhC)/ Clinical…
PST020543 LA Pharmacist Clinician (PhC)/ Clinical…
PD12676 AR Pharmacist Clinician (PhC)/ Clinical…
0014078 OR Pharmacist Clinician (PhC)/ Clinical…
22406 MD Pharmacist Clinician (PhC)/ Clinical…
14533 NE Pharmacist Clinician (PhC)/ Clinical…
S020551 AZ Pharmacist Clinician (PhC)/ Clinical…
0202213181 VA Pharmacist Clinician (PhC)/ Clinical…
54965 TX Pharmacist Clinician (PhC)/ Clinical…
PS52242 FL Pharmacist Clinician (PhC)/ Clinical…
17998 AL Pharmacist Clinician (PhC)/ Clinical…
15851 OK Pharmacist Clinician (PhC)/ Clinical…

Licences are recorded in 15 states: IL, MS, KY, TN, LA, AR, OR, MD, NE, AZ, VA, TX, FL, AL, OK. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 15 states

This provider holds licences in 15 states: Alabama, Arkansas, Arizona, Florida, Illinois, Kentucky, Louisiana, Maryland, Mississippi, Nebraska, Oklahoma, Oregon, Tennessee, Texas and Virginia. The practice address on file is in Madison, MS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AL Alabama
Licence
17998
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the AL board →
AR Arkansas
Licence
PD12676
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the AR board →
AZ Arizona
Licence
S020551
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the AZ board →
FL Florida
Licence
PS52242
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the FL board →
IL Illinois
Licence
051040606
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the IL board →
KY Kentucky
Licence
016949
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the KY board →
LA Louisiana
Licence
PST020543
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the LA board →
MD Maryland
Licence
22406
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the MD board →
MS Mississippi practice address
Licence
P13348
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the MS board →
NE Nebraska
Licence
14533
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the NE board →
OK Oklahoma
Licence
15851
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the OK board →
OR Oregon
Licence
0014078
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the OR board →
TN Tennessee
Licence
0000038112
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the TN board →
TX Texas
Licence
54965
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the TX board →
VA Virginia
Licence
0202213181
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist covers

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. NUCC Health Care Provider Taxonomy, code 1835P0018X
Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

All registered taxonomy codes

This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 051040606 IL
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist P13348 MS primary
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 016949 KY
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 0000038112 TN
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist PST020543 LA
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist PD12676 AR
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 0014078 OR
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 22406 MD
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 14533 NE
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist S020551 AZ
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 0202213181 VA
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 54965 TX
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist PS52242 FL
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 17998 AL
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 15851 OK

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1508311028 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 25, 2016
Last updatedAug 25, 2016
StatusActive
Sole proprietorNo
GenderMale
CredentialPHARMD, MBA, DAAPM
Practice address 122 MCDILL CV
Madison, MS 39110
(224) 805-0156
Fax (601) 988-1701
This record was last updated on Aug 25, 2016, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1508311028 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 0 8 3 1 1 0 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 0 8 6 1 2 0 4

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1508311028?
NPI 1508311028 is the National Provider Identifier assigned to Koshy Mathew, PHARMD, MBA, DAAPM in Madison, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist cover?
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.
How do I contact Koshy Mathew, PHARMD, MBA, DAAPM?
The phone number on file with NPPES is (224) 805-0156, last updated Aug 25, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1508311028 a valid number?
Yes. 1508311028 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.