Active NPI
Matthew Ryan Ireland, PHARMD
- Pharmacist
- Pueblo West, CO
National Provider Identifier
1124617139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23409
- Practice address
- 958 Hailey LN
Pueblo West, CO 81007-4438 - Phone
- (719) 404-0081
- NPI assigned
- Jan 13, 2021
- Reactivated
- Oct 20, 2026
- Last updated
- Oct 20, 2026
- 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 | 23409 | CO | Primary |
Addresses
Primary practice location
958 Hailey LN
Pueblo West, CO 81007-4438
Mailing address
556 Brookeway
Florence, CO 81226-1281
Phone (719) 242-8060
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23409 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792454400000",
"number": "1124617139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 BROOKEWAY",
"city": "FLORENCE",
"state": "CO",
"postal_code": "812261281",
"telephone_number": "719-242-8060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 HAILEY LN",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810074438",
"telephone_number": "719-404-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRELAND",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-13",
"last_updated": "2026-10-20",
"certification_date": "2020-12-23",
"deactivation_date": "2024-12-14",
"reactivation_date": "2026-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "23409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo West, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.