Active NPI
Nancy J Matyunas, PHARMD
- Pharmacist
- Louisville, KY
National Provider Identifier
1003023011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9685
- Practice address
- 2215 Portland Ave
Louisville, KY 40212-1033 - Phone
- (502) 772-0889
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9685 | KY | Primary |
Addresses
Primary practice location
2215 Portland Ave
Louisville, KY 40212-1033
Mailing address
1730 Deer Park Ave
Louisville, KY 40205-1222
Phone (502) 458-5077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9685 | KY | MD | Pharmacist |
Interoperability endpoints
- https://api.platform.athenahealth.com/19043/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003023011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 DEER PARK AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051222",
"telephone_number": "502-458-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 PORTLAND AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402121033",
"telephone_number": "502-772-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATYUNAS",
"first_name": "NANCY",
"middle_name": "J",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "9685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.