Active NPI
Matthew Alan Lieske, RPH
- Pharmacist
- Strongsville, OH
National Provider Identifier
1184907735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03223072
- Practice address
- 19980 W 130TH St
Strongsville, OH 44136-8437 - Phone
- (440) 572-2833
- Fax
- (440) 572-2875
- NPI assigned
- Sep 20, 2011
- Last updated
- Sep 20, 2011
- 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 | 03223072 | OH | Primary |
Addresses
Primary practice location
19980 W 130TH St
Strongsville, OH 44136-8437
Mailing address
19980 W 130TH St
Strongsville, OH 44136-8437
Phone (440) 572-2833
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03223072 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1184907735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19980 W 130TH ST",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441368437",
"telephone_number": "440-572-2833",
"fax_number": "440-572-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19980 W 130TH ST",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441368437",
"telephone_number": "440-572-2833",
"fax_number": "440-572-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIESKE",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03223072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Strongsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.