Active NPI
Matthew Killips, PHARM.D
- Pharmacist
- Geneva, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064958
- Practice address
- 431 Hamilton St
Geneva, NY 14456-3001 - Phone
- (315) 781-9080
- NPI assigned
- Sep 30, 2019
- Last updated
- Jan 21, 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 | 064958 | NY | Primary |
Addresses
Primary practice location
431 Hamilton St
Geneva, NY 14456-3001
Mailing address
431 Hamilton St
Geneva, NY 14456-3001
Phone (315) 781-9080
Other practice location 1
173 Market St
Potsdam, NY 13676-1221
Phone (315) 265-6192
Other practice location 2
3035 East Ave
Central Square, NY 13036-2611
Phone (315) 688-7363
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 |
|---|---|---|---|
| 064958 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
431 Hamilton St
Geneva, NY 14456
Phone (315) 781-9080
173 Market St
Potsdam, NY 13676
Phone (315) 265-2603
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674259200000",
"number": "1164063228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 HAMILTON ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144563001",
"telephone_number": "315-781-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 HAMILTON ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144563001",
"telephone_number": "315-781-9080"
}
],
"practiceLocations": [
{
"address_1": "173 Market St",
"address_purpose": "LOCATION",
"city": "Potsdam",
"state": "NY",
"postal_code": "136761221",
"country_code": "US",
"telephone_number": "315-265-6192",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3035 East Ave",
"address_purpose": "LOCATION",
"city": "Central Square",
"state": "NY",
"postal_code": "130362611",
"country_code": "US",
"telephone_number": "315-688-7363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILLIPS",
"first_name": "MATTHEW",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-30",
"last_updated": "2023-01-21",
"certification_date": "2023-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.