Active NPI
Matthew Suda, PHARMD
- Pharmacist
- Spokane, WA
National Provider Identifier
1154003143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61444914
- Practice address
- 4001 N Cook St
Spokane, WA 99207-5879 - Phone
- (509) 482-4069
- Fax
- (509) 489-0427
- NPI assigned
- Aug 1, 2023
- 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 | PH61444914 | WA | Primary |
Addresses
Primary practice location
4001 N Cook St
Spokane, WA 99207-5879
Mailing address
4001 N Cook St
Spokane, WA 99207-5879
Phone (509) 482-4069
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msuda39593@yvfwc.direct-ci.com | Direct |
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 |
|---|---|---|---|
| PH61444914 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1154003143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 N COOK ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992075879",
"telephone_number": "509-482-4069",
"fax_number": "509-482-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 N COOK ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992075879",
"telephone_number": "509-482-4069",
"fax_number": "509-489-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDA",
"first_name": "MATTHEW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61444914",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msuda39593@yvfwc.direct-ci.com",
"affiliation": "N",
"endpointDescription": "YVFWC Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "4001 N Cook St",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992075879",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.