Matthew Jason Pallo, PHAMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03225434 Issued in OH

Practice address

25221 Miles Rd
Suite #H
Warrensville Heights, OH 44128-5474

Phone

(216) 224-1379

Fax

(216) 595-1508

NPI assigned

Aug 30, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1003197500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 E SAPPHIRE DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364098",
            "telephone_number": "216-224-1379",
            "fax_number": "216-595-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25221 MILES RD",
            "address_2": "SUITE #H",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285474",
            "telephone_number": "216-224-1379",
            "fax_number": "216-595-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLO",
        "first_name": "MATTHEW",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PHAMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03225434",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440990",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.291800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.