Organization Active NPI

Matthews Pharmacy Inc.

  • Long Term Care Pharmacy
  • Ellenville, NY
National Provider Identifier
1023812609
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MATTHEWS PHARMACY INC.
Practice address
101 Canal St
Ellenville, NY 12428-1400
Phone
(845) 647-6222
Fax
(845) 647-1558
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Laura Villegas, PHARMDNPI 1548501430
Title
Owner/Pic
Phone
(845) 647-6222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

101 Canal St
Ellenville, NY 12428-1400

Mailing address

101 Canal St
Ellenville, NY 12428-1400
Phone (845) 647-6222

Other names 1

  • Matthews Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Matthews Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1023812609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CANAL ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281400",
            "telephone_number": "845-647-6222",
            "fax_number": "845-647-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CANAL ST",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124281400",
            "telephone_number": "845-647-6222",
            "fax_number": "845-647-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "845-647-6222",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthews Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellenville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.