Active NPI
Matty S. Fruchtman, RPH
- Pharmacist
- Bedford, NY
National Provider Identifier
1245391069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 033547-1
- Practice address
- 424 Old Post Rd
Bedford, NY 10506-1018 - Phone
- (914) 234-3744
- Fax
- (914) 234-0652
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033547-1 | NY | Primary |
Addresses
Primary practice location
424 Old Post Rd
Bedford, NY 10506-1018
Mailing address
9 Gregory LN
Millwood, NY 10546-1039
Phone (914) 234-3744
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033547-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer-John Pharmacy Inc | Past | Accepting new patients | |
| Bedford Drugs, Inc. | Past | Accepting new patients |
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.
-
- Pharmacy
- Bedford, NY
- NPI 1982976650
-
- Community/Retail Pharmacy
- Bedford, NY
- NPI 1992871008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268784000000",
"number": "1245391069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GREGORY LN",
"city": "MILLWOOD",
"state": "NY",
"postal_code": "105461039",
"telephone_number": "914-234-3744",
"fax_number": "914-234-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 OLD POST RD",
"city": "BEDFORD",
"state": "NY",
"postal_code": "105061018",
"telephone_number": "914-234-3744",
"fax_number": "914-234-0652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUCHTMAN",
"first_name": "MATTY",
"middle_name": "S.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2010-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "033547-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.