Joshua Matlock, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60828440 Issued in WA

Practice address

210 Spring St
Friday Harbor, WA 98250-7254

Phone

(360) 378-4421

Fax

(360) 378-6140

NPI assigned

Jun 4, 2018

Last updated

Jun 4, 2018By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1255823423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982500516",
            "telephone_number": "360-378-4421",
            "fax_number": "360-378-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SPRING ST",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507254",
            "telephone_number": "360-378-4421",
            "fax_number": "360-378-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "JOSHUA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "17540",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60828440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PH60828440",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "17540",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Lefever, PHYSICAL THERAPIST
• Patricia Baer Lehr, LICSW
• Karen Elizabeth Libby, RN,LMP
• Susan Marie Mahoney, MD
• Susan Cooper Marean, CDP
• C. Shahn McGuire, LMFT
• Michael T. Horn, DDS, PLLC (Friday Harbor Dentistry)
• Natalie Miller Nawn, LSWAIC
• Lori Tucker Miller, RDH
• Clinton Wade Mills, MSW, RC

• Pharmacist in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.