DR. KOSHY MATHEW PHARMD, MBA, DAAPM
NPI 1508311028
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Madison, MS

Active since August 25, 2016
122 MCDILL CV, MADISON, MS 39110(224) 805-0156(601) 988-1701 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Koshy Mathew Pharmd, Mba, Daapm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KOSHY MATHEW PHARMD, MBA, DAAPM (NPI 1508311028) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Madison, Mississippi, licensed in Mississippi (P13348) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1508311028
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameDR. KOSHY MATHEWCredential: PHARMD, MBA, DAAPM
Location Address122 MCDILL CVMadison, MS 39110-6562
Mailing Address122 Mcdill CvMadison, MS 39110-6562 · (224) 805-0156 · Fax (601) 988-1701
Fax(601) 988-1701
Sole ProprietorNo
Enumeration DateAugust 25, 2016
✔ NPI 1508311028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
Licenses✔ Licensed in MS · P13348✔ Licensed in IL · 051040606✔ Licensed in KY · 016949✔ Licensed in TN · 0000038112✔ Licensed in LA · PST020543✔ Licensed in AR · PD12676✔ Licensed in OR · 0014078✔ Licensed in MD · 22406✔ Licensed in NE · 14533✔ Licensed in AZ · S020551✔ Licensed in VA · 0202213181✔ Licensed in TX · 54965✔ Licensed in FL · PS52242✔ Licensed in AL · 17998✔ Licensed in OK · 15851
Definition
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.
122 MCDILL CV, Madison, MS 39110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koshy Mathew's NPI number?

The NPI number for Koshy Mathew is 1508311028. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Koshy Mathew located?

Koshy Mathew practices at 122 Mcdill Cv, Madison, MS 39110. The listed phone number is (224) 805-0156.

What is Koshy Mathew's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Koshy Mathew was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.