Nima Matin, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051292344 Issued in IL

Practice address

17W735 Butterfield Rd Ste C
Oakbrook Terrace, IL 60181-4206

Phone

(630) 828-6978

Fax

(630) 385-0122

NPI assigned

Aug 10, 2021

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

Locations

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.

• Hydra Pharmacy LLC

  • Community/Retail Pharmacy
  • Oakbrook Terrace, IL
  • NPI 1508412917
  NPD Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1154096303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W735 BUTTERFIELD RD STE C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814206",
            "telephone_number": "630-828-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W735 BUTTERFIELD RD STE C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814206",
            "telephone_number": "630-828-6978",
            "fax_number": "630-385-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIN",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Marrero, APN
• Rachel Marie Marshall, DOT, OTR/L
• Daniel Kristoffer Martin, LMT
• Romana Maryem
• Candace Mathers, N.D.
• Sintoria Matthews, CPT
• Joshua McFarren
• Jennifer McGrath, LAC
• Irene Medina, MSW, LCSW
• Niki Mehta, OD

• Pharmacist in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.