Matthew Lemoyne Mainard, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5676 Issued in OR

Practice address

10903 SE Oak St
Milwaukie, OR 97222-6641

Phone

(971) 233-1002

Fax

(971) 233-1006

NPI assigned

Sep 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Milwaukie, OR
  • NPI 1245398098
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1093049710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 SE OAK ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226641",
            "telephone_number": "971-233-1002",
            "fax_number": "971-233-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 SE OAK ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226641",
            "telephone_number": "971-233-1002",
            "fax_number": "971-233-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINARD",
        "first_name": "MATTHEW",
        "middle_name": "LEMOYNE",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Madison, SPEECH LANGUAGE PATH
• Krizelle Magdirila, OTD
• Jessica Magnani, LCSW
• Hieu Trung Mai
• Kelsey Maier
• Barbara Majors, MSW, LCSW
• Kristen Langit Malabanan, PHARM.D.
• Janet Lynn Malik, OCC THERAPIST ASSIST
• Mary Jo Malone, RPH
• Feven Mamo

• Pharmacist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.