Matthew A Bartolo, PHARMD
Individual provider Active NPI Pharmacist · Lodi, NJ
NPI 1003198540 · NPPES record last updated Oct 5, 2018
Key facts
- NPI
- 1003198540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP445243 (PA)
- Practice address
- 20 Arnot St
Lodi, NJ 07644-1614 - Phone
- (973) 470-9494
- NPI assigned
- Sep 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP445243 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP445243 | PA | Yes |
Addresses
Primary practice location
20 Arnot St
Lodi, NJ 07644-1614
Mailing address
112 George Russell Way
Clifton, NJ 07013-2682
Phone (727) 631-6050
Other providers in Lodi, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.