Individual provider Active NPI

Matthew Tunde, PHARM D.

  • Pharmacist
  • New York, NY
National Provider Identifier
1346522182
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
055403-1 Issued in NY
Practice address
320 W 145TH St
New York, NY 10039-3031
Phone
(212) 939-0941
Fax
(212) 939-0945
NPI assigned
Sep 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 011289 CT
Pharmacist 183500000X 055403 NY
Pharmacist 183500000X 055403-1 NY Primary

Addresses

Primary practice location

320 W 145TH St
New York, NY 10039-3031

Mailing address

320 W 145TH St
New York, NY 10039-3031
Phone (917) 420-3033

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
011289CTMDPharmacist
055403NYMDPharmacist
055403-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duane Reade PastSince Sep 29, 2024 Accepting new patients
Duane Reade PastSince Sep 29, 2024 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": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1346522182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W 145TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393031",
            "telephone_number": "917-420-3033",
            "fax_number": "212-939-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 145TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393031",
            "telephone_number": "212-939-0941",
            "fax_number": "212-939-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNDE",
        "first_name": "MATTHEW",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-19",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "011289",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055403",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055403-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.