Individual provider Active NPI

Matthew James Fanizza, PHARMD

  • Pharmacist
  • Laveen, AZ
National Provider Identifier
1407144504
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S016691 Issued in AZ
Practice address
7031 W Winston Dr
Laveen, AZ 85339-5519
Phone
(480) 369-2272
NPI assigned
Jul 11, 2011
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8792 ID
Pharmacist 183500000X PHA.0019752 CO
Pharmacist 183500000X PH60883540 WA
Pharmacist 183500000X S016691 AZ Primary

Addresses

Primary practice location

7031 W Winston Dr
Laveen, AZ 85339-5519

Mailing address

7031 W Winston Dr
Laveen, AZ 85339-5519
Phone (480) 369-2272

Other names 1

  • Matthew James Gomes Former name

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
S016691AZMDPharmacist
PHA.0019752COMDPharmacist
8792IDMDPharmacist
PH60883540WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1407144504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 W WINSTON DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395519",
            "telephone_number": "480-369-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7031 W WINSTON DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395519",
            "telephone_number": "480-369-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANIZZA",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "8792",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0019752",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60883540",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "GOMES",
            "middle_name": "JAMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.