NPIMap

Individual provider Active NPI

Matthew Phillip Lyle, PHARMD

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1306333141
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP444703 Issued in PA
Practice address
2660 Lefevre St
Philadelphia, PA 19137-2044
Phone
(215) 535-4111
Fax
(215) 535-4115
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP444703 PA Primary

Addresses

Primary practice location

2660 Lefevre St
Philadelphia, PA 19137-2044

Mailing address

2660 Lefevre St
Philadelphia, PA 19137-2044
Phone (215) 535-4111

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP444703PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent RX Incorporated Past Accepting new patients
Independent RX Incorporated 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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1306333141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 LEFEVRE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191372044",
            "telephone_number": "215-535-4111",
            "fax_number": "215-535-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 LEFEVRE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191372044",
            "telephone_number": "215-535-4111",
            "fax_number": "215-535-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLE",
        "first_name": "MATTHEW",
        "middle_name": "PHILLIP",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP444703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.