Matthew P Ehrhardt, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

IL051.300102 Issued in IL

Practice address

806 W North Ave
Melrose Park, IL 60160-1611

Phone

(708) 547-8736

Fax

(708) 547-8513

NPI assigned

Sep 6, 2020

Last updated

Sep 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Drug Stores LLC

  dba Osco Drug #3290

  • Community/Retail Pharmacy
  • Melrose Park, IL
  • NPI 1346296738
  NPD (past)

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

{
    "created_epoch": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1215541263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W NORTH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601611",
            "telephone_number": "708-547-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W NORTH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601611",
            "telephone_number": "708-547-8736",
            "fax_number": "708-547-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRHARDT",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-06",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "IL051.300102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s3290@safeway.com",
            "affiliation": "N",
            "endpointDescription": "pharmacy email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "806 W North Ave",
            "city": "Melrose Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601601611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Earle, B.S.
• Keri Edgeworth, MSW
• Edm Consultant Services LTD
• Faramarz Eghrari, M.D.
• Thomas Kenneth Ehni, M.D.
• Laura A Eichstaedt, LCSW
• Pamela Ann Ekegren-Piechocinski
• Elmhurst Memorial Affiliated Primary Care Physicians, LLC (Primary Care Assoicates)
• Encompass Physicians LLC
• Bryan David Erce, D.M.D.

• Pharmacist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2020; 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.