Matthew M Wine, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH.03127618 Issued in OH

Practice address

1103 S Zane Hwy
Martins Ferry, OH 43935-1967

Phone

(740) 633-2676

NPI assigned

Mar 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1184865792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S ZANE HWY",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351967",
            "telephone_number": "740-633-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S ZANE HWY",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351967",
            "telephone_number": "740-633-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINE",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "RPH.03127618",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wheeling Hospital, Inc.
• Wheeling Hospital, Inc.
• Dashawn Andrea White, CASE MANAGER
• Crystal Marie Whitecotton, LICDC
• Mia Williams
• Kim Wines
• Katherine Winters-Hazen, BCBA
• Yggdrasil Residential Services
• Loretta Yuhase, MA, PSYCH ASSISTANT
• Patrick P Zadrozny, DPT

• All providers in Martins Ferry, OH
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.