Matthew Swazer, PHARMD

Primary specialty

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

License

PST.022234 Issued in LA

Practice address

2151 Parkinson Blvd
Waterford, MI 48328-1841

Phone

(248) 804-3065

NPI assigned

Oct 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Natchitoches, LA
  • NPI 1053326231
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Louisiana Co Inc

  • Pharmacy
  • Shreveport, LA
  • NPI 1225043490
  NPD (past)
• Walgreen Louisiana Co Inc

  • Pharmacy
  • Lake Charles, LA
  • NPI 1629084017
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1215447362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 PARKINSON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 PARKINSON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281841",
            "telephone_number": "248-804-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAZER",
        "first_name": "MATTHEW",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "LA",
            "license": "PST.022234",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.022234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2516922",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Geriatric Physicians, PLLC
• Olivia Susalla
• Jessica Ruth Sutherland, FNP
• SVS Vision Inc
• Rebecca Swain, MSEL, QMRP
• David Adam Sweet, LMSW, CAADC, CTP-C
• Jessica Lynn Sweet, LLPC
• Wendy C Switalski, MA
• Laura Elizabeth Sychta, N.P.
• Jennifer Syeda, NP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Waterford, MI
• Providers in Waterford, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.