Individual provider Active NPI

Matthew A Rease

  • Pharmacist
  • Farmville, VA
National Provider Identifier
1386966091
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
053510 Issued in NY
Practice address
1401 S Main St
Farmville, VA 23901-2531
Phone
(434) 392-4165
NPI assigned
Feb 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 053510 NY Primary

Addresses

Primary practice location

1401 S Main St
Farmville, VA 23901-2531

Mailing address

4601 Valley Crest Dr
Apt 202
Midlothian, VA 23112-2679
Phone (315) 573-5398

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

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1386966091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 VALLEY CREST DR",
            "address_2": "APT 202",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122679",
            "telephone_number": "315-573-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S MAIN ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012531",
            "telephone_number": "434-392-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REASE",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "053510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.