Active NPI
Brian Matthew, RPH
- Pharmacist
- Las Vegas, NV
National Provider Identifier
1366055261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19644
- Practice address
- 385 E Silverado Ranch Blvd
Las Vegas, NV 89183-4428 - Phone
- (702) 617-7895
- NPI assigned
- Aug 28, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19644 | NV | Primary |
Addresses
Primary practice location
385 E Silverado Ranch Blvd
Las Vegas, NV 89183-4428
Mailing address
9614 Starfish Reef Way
Las Vegas, NV 89178-1302
Phone (702) 509-3373
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1366055261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9614 STARFISH REEF WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891781302",
"telephone_number": "702-509-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 E SILVERADO RANCH BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891834428",
"telephone_number": "702-617-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEW",
"first_name": "BRIAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Matthew Okeke, M.D. LTD (Grand Desert Treatment Center)
- Matthew Okeke, M.D. LTD (Grand Desert Psychiatric Services)
- Matthew Pham MD PC
- Matthew R Wirig, DMD, PC
- Matthew Swanic M D PLLC (Las Vegas Eye Institute)
- Godwin Salifu Matthew, MD
- Lucia Carol Matthew
- Alicia Matthews
- Alondra Matthews
- Anthony Matthews
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.