Active NPI
Rochelly Rivera Matos
- Pharmacist
- Newport, TN
National Provider Identifier
1104670538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47504
- Practice address
- 102 E Broadway
Newport, TN 37821-2323 - Phone
- (423) 623-0364
- NPI assigned
- Apr 12, 2024
- Last updated
- Apr 12, 2024
- Sex
- Female
- 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 | 47504 | TN | Primary |
Addresses
Primary practice location
102 E Broadway
Newport, TN 37821-2323
Mailing address
102 E Broadway
Newport, TN 37821-2323
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
102 E Broadway
Newport, TN 37821
Phone (423) 623-0364
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1104670538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E BROADWAY",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378212323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E BROADWAY",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378212323",
"telephone_number": "423-623-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA MATOS",
"first_name": "ROCHELLY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "47504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, TN
- Reflection Healthcare LLC
- Resource Anesthesia East Tennessee Inc (Resource Anesthesia PC)
- Restoration House Ministries
- Virginia Revill
- Alexus Jayed Rhea, LPN
- Travis Blake Robbins, PHARMD
- Christopher Daniels Robertson, LCSW
- Veronica Lee Rollins, RN
- Rural Medical Services, Inc.
- Rural Medical Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.