Matthew Charles Thill

Primary specialty

PharmacistTaxonomy code 183500000X

License

11842 Issued in WI

Practice address

1015 13TH St
Menominee, MI 49858-2722

Phone

(906) 863-2589

NPI assigned

Jan 27, 2021

Last updated

Jan 27, 2021By 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 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Woodward Detroit CVS, L.L.C.

  dba CVS Pharmacy #08549

  • Pharmacy
  • Menominee, MI
  • NPI 1992746895
  NPD (past)

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1396336905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2781 WILDERNESS TR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "715-923-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 13TH ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498582722",
            "telephone_number": "906-863-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILL",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "endpointDescription": "Pharmacist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Pharmacy",
            "address_1": "N2781 Wilderness Trl",
            "city": "Marinette",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541439470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "endpointDescription": "Pharmacist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1015 13th St",
            "city": "Menominee",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498582722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marsha Ann Stiemke, RN
• Tarmann Transport, LLC
• Andrew John Thanos, DDS
• Krystal Lee Tharp, RN
• The Menominee County Intermediate School District
• Deborah Elizabeth Tiefert, LBSW
• Upper Great Lakes Family Health Center (Menominee Family Health Center)
• Kristen Lynn Verba, LBSW
• Marci June Villeneuve, RN
• Sarah Walloch

• Pharmacist in Menominee, MI
• Providers in Menominee, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.