Matte's Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

711-IR Issued in LA

Legal business name

MATTE'S PHARMACY INC

Practice address

314 Main St
Marion, LA 71260

Phone

(318) 292-4570

Fax

(318) 292-5606

NPI assigned

Jul 11, 2006

Last updated

Apr 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Michael Matte Sr., RPHNPI 1184779183

Title

President/Pharmacist

Phone

(318) 292-4570

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Michael Matte, PD

  • Pharmacist
  • Marion, LA
  • NPI 1184779183
  NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1063447787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "MARION",
            "state": "LA",
            "postal_code": "712600017",
            "telephone_number": "318-292-4570",
            "fax_number": "318-292-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST",
            "city": "MARION",
            "state": "LA",
            "postal_code": "71260",
            "telephone_number": "318-292-4570",
            "fax_number": "318-292-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTE'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "MATTE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "318-292-4570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "PHY.000711-IR",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "711-IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100523407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200514",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1902798",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Farr, M.S.N, APRN, FNP-C
• Hannah Renee Givens, FNP-C
• Hopeful Horizons, L.L.C.
• Shirley Lee Johnson
• Bruce Michael Matte, PD
• Morehouse Community Medical Centers, Inc. (CommuniHealth Services - Marion Family Practice, Dental and Behavioral)
• Jamie Michelle Norris, M.S.
• Galen Roberts
• Sarah's Inspirational Voyage LLC
• Sterlington Nursing Home Services, Inc

• Community/Retail Pharmacy in Marion, LA
• Providers in Marion, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.