Individual provider Active NPI

Matthew Mastropietro, PHARMD

  • Pharmacist
  • Wolcott, CT
National Provider Identifier
1205708583
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PCT.0017052 Issued in CT
Practice address
35 Old New England Rd
Wolcott, CT 06716-2851
Phone
(203) 819-3136
NPI assigned
Sep 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0017052 CT Primary

Addresses

Primary practice location

35 Old New England Rd
Wolcott, CT 06716-2851

Mailing address

35 Old New England Rd
Wolcott, CT 06716-2851
Phone (203) 819-3136

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

LicenseStateTypeSpecialty
PCT.0017052CTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1205708583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 OLD NEW ENGLAND RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162851",
            "telephone_number": "203-819-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 OLD NEW ENGLAND RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162851",
            "telephone_number": "203-819-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROPIETRO",
        "first_name": "MATTHEW",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0017052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolcott, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.