IndividualActive
Matthew Illich, PHARMD
NPI 1558972307 · Pharmacist · Gulfport, MS
Matthew Illich, PHARMD is a Pharmacist provider in Gulfport, MS (NPI 1558972307).
Provider details
- NPI number
- 1558972307
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 16174 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1417 E Pass Rd
Gulfport, MS 39507-3522
Phone: (228) 896-3870
Street-level locationGet directions
Mailing address
905 Sea Cove St
Pascagoula, MS 39581-2166
Additional practice locations (1)
- 6970 Old Canton RdRidgeland, MS 39157-1229Phone: (601) 956-3844
Registry dates
- Enumerated
- 2020-08-14
- Last updated
- 2022-12-26
- Certified
- 2022-12-26
Frequently asked questions
- What is Matthew Illich's NPI number?
- Matthew Illich's National Provider Identifier (NPI) is 1558972307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Illich's specialty?
- Matthew Illich is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Matthew Illich located?
- Matthew Illich's practice location on file with NPPES is 1417 E Pass Rd, Gulfport, MS 39507-3522.
- What is Matthew Illich's phone number?
- The practice phone number listed in the NPPES registry for Matthew Illich is (228) 896-3870.
- Is Matthew Illich's NPI active?
- Yes — Matthew Illich's NPI (1558972307) is active in the NPPES registry as of the last update on 2022-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.