Matthew William Haas, PHARM.D., PHC

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PC00000177 Issued in NM

Practice address

1209 University Blvd NE
Outpatient Pharmacy
Albuquerque, NM 87102-1727

Phone

(505) 272-0788

Fax

(505) 272-8882

NPI assigned

Sep 13, 2010

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

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1194032045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 UNIVERSITY BLVD NE",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021727",
            "telephone_number": "505-272-0788",
            "fax_number": "505-272-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 UNIVERSITY BLVD NE",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021727",
            "telephone_number": "505-272-0788",
            "fax_number": "505-272-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., PHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NM",
            "license": "PC00000177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Ha, CNP
• Linda Gail Haakenson, R.PH
• Kathleen York Haaland, PH.D.
• Jana Haas
• Mark Haas, D.P.M.
• Zachary Haas, DPM
• Kathryn S Haase, SLP
• Kian Habashi, MD
• Zikrullah Habibi
• Krystel Habish, FNP-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.