Active NPI
Matthew Jin Won Stradley, CPHT, RPHT, LPHT
- Pharmacy Technician
- Rockville, MD
National Provider Identifier
1225879521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T28692
- Practice address
- 9715 Medical Center Dr Ste 100
Rockville, MD 20850-6319 - Phone
- (301) 424-1411
- Fax
- (301) 424-0232
- NPI assigned
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0230041785 | VA | |
| Pharmacy Technician | 183700000X | PT100004273 | DC | |
| Pharmacy Technician | 183700000X | T28692 | MD | Primary |
Addresses
Primary practice location
9715 Medical Center Dr Ste 100
Rockville, MD 20850-6319
Mailing address
2001 L St NW Ste 500
Washington, DC 20036-4955
Phone (202) 798-0436
Other practice location 1
2001 L St NW Ste 500
Washington, DC 20036-4955
Phone (202) 798-0436
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT100004273 | DC | MD | Pharmacy Technician |
| T28692 | MD | MD | Pharmacy Technician |
| 0230041785 | VA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellrock Pharmacy LLC | Current | Accepting new patients | |
| Wellrock Pharmacy LLC | Current | Accepting new patients |
Locations
9715 Medical Center Dr
Ste 100
Rockville, MD 20850
Phone (301) 424-1411
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1225879521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 L ST NW STE 500",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200364955",
"telephone_number": "202-798-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9715 MEDICAL CENTER DR STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506319",
"telephone_number": "301-424-1411",
"fax_number": "301-424-0232"
}
],
"practiceLocations": [
{
"address_1": "2001 L St NW Ste 500",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200364955",
"country_code": "US",
"telephone_number": "202-798-0436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRADLEY",
"first_name": "MATTHEW JIN",
"middle_name": "WON",
"credential": "CPHT, RPHT, LPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "VA",
"license": "0230041785",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "DC",
"license": "PT100004273",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MD",
"license": "T28692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.