Active NPI
Matthew William Reed
- Pharmacist
- Shenandoah, PA
National Provider Identifier
1053108597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP459066
- Practice address
- 15 S Main St
Shenandoah, PA 17976-2332 - Phone
- (570) 462-1924
- NPI assigned
- Apr 21, 2025
- Last updated
- Apr 21, 2025
- Sex
- Male
- Sole proprietor
- No
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 | RP459066 | PA | Primary |
Addresses
Primary practice location
15 S Main St
Shenandoah, PA 17976-2332
Mailing address
900 E Centre St
Mahanoy City, PA 17948-2944
Phone (570) 900-1705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPI017221 | Other | PA | COMMONWEALTH OF PENNSYLVANIA - BPOA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP459066 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
-
dba Rite Aid Pharmacy 00208
- Community/Retail Pharmacy
- Shenandoah, PA
- NPI 1639268360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1053108597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E CENTRE ST",
"city": "MAHANOY CITY",
"state": "PA",
"postal_code": "179482944",
"telephone_number": "570-900-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 S MAIN ST",
"city": "SHENANDOAH",
"state": "PA",
"postal_code": "179762332",
"telephone_number": "570-462-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "MATTHEW",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP459066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PENNSYLVANIA - BPOA",
"identifier": "RPI017221",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, PA
- Kristin M. Nunes, LCSW
- Alyssa Pfeil
- Primary Health Network
- Alexine M Rajnic, CCC SLP
- Redner's Markets, Inc. (Redner's Pharmacy #22)
- Ridgeview Healthcare & Rehab Center LLC
- Ridgeview Operations LLC (Ridgeview Healthcare & Rehab Center)
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00208)
- RXD of Shenandoah
- Nancy Kathryn Sammartino, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.