Matthew Burns Nielsen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302040539 Issued in MI

Practice address

1201A S Division St
Traverse City, MI 49684-4426

Phone

(231) 929-0526

NPI assigned

Aug 28, 2015

Last updated

Aug 28, 2015By the provider in NPPES

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

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04495

  • Community/Retail Pharmacy
  • Traverse City, MI
  • NPI 1467561910
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04487

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1144697848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 WILLIAMSBURG RD",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201A S DIVISION ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844426",
            "telephone_number": "231-929-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "MATTHEW",
        "middle_name": "BURNS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nichols, OD
• Beth A Nickerson
• Rebekah Nickerson
• David Darwin Nicolaou, MD
• Nicole Ball Counseling, PLLC (Mental Wellness Counseling)
• Steven J Niergarth, D.D.S.
• Rebecca Jan Nies
• Abby Niessink, PA
• Elena Nikonova, MD
• Nicole Nixon

• Pharmacist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.