Matthew Richmond Geurin, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

54901 Issued in TX

Practice address

12300 Lake June Rd
Balch Springs, TX 75180-1636

Phone

(972) 286-0180

Fax

(972) 286-7770

NPI assigned

Nov 4, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1164023453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S BRIGHTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085742",
            "telephone_number": "314-973-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 LAKE JUNE RD",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751801636",
            "telephone_number": "972-286-0180",
            "fax_number": "972-286-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEURIN",
        "first_name": "MATTHEW",
        "middle_name": "RICHMOND",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2010026497",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "54901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "address_1": "12300 Lake June Rd",
            "city": "Balch Springs",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751801636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Balch Springs, TX
• Providers in Balch Springs, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.