Active NPI
Dale S Matsuda, RPH
- Pharmacist
- Castle Rock, CO
National Provider Identifier
1063798056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12685
- Practice address
- 355 S Wilcox St
Castle Rock, CO 80104-1914 - Phone
- (303) 663-5998
- Fax
- (303) 814-3989
- NPI assigned
- Oct 23, 2011
- Last updated
- Mar 1, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 12685 | CO | Primary |
Addresses
Primary practice location
355 S Wilcox St
Castle Rock, CO 80104-1914
Mailing address
37320 Forest TRL
Elizabeth, CO 80107-8109
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12685 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1063798056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37320 FOREST TRL",
"city": "ELIZABETH",
"state": "CO",
"postal_code": "801078109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 S WILCOX ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041914",
"telephone_number": "303-663-5998",
"fax_number": "303-814-3989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUDA",
"first_name": "DALE",
"middle_name": "S",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-23",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "12685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.