Matthew S Michaud

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PH202342 Issued in RI

Practice address

1 Cowesett Ave
West Warwick, RI 02893-3207

Phone

(401) 451-9360

NPI assigned

Jan 9, 2021

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

State licenses

Practice roles

Locations

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
  • West Warwick, RI
  • NPI 1891823415
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1225626799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COWESETT AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028933207",
            "telephone_number": "401-451-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COWESETT AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028933207",
            "telephone_number": "401-451-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "RI",
            "license": "PH202342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Andrew Stone McMillan, MD
• Meaningful Outcomes LLC
• Medical Group of Rhode Island,Inc
• Luis Daniel Mendez, LCSW
• John Merlino III
• Shantessa Miller, CPD
• Wayne B Mollohan, D.M.D.
• Jenna Danielle Monteiro, LICSW
• Alicia Morgan
• Nicole Morin, RN

• Pharmacy Technician in West Warwick, RI
• Providers in West Warwick, RI by specialty
• Pharmacy Technician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.