Mathew Philip Slakoper, RPH
Individual provider Active NPI Pharmacist · Croydon, PA
NPI 1407191968 · NPPES record last updated Dec 10, 2012
Key facts
- NPI
- 1407191968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP031955L (PA)
- Practice address
- 701 Bristol Pike
Croydon, PA 19021-5412 - Phone
- (215) 785-3537
- Fax
- (215) 781-9995
- NPI assigned
- Dec 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP031955L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slakoper Inc | Current | Accepting new patients | |
| Slakoper Inc | Current |
Accepting new patients |
Locations
701 Bristol Pike
Croydon, PA 19021
Phone (215) 785-3537
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP031955L | PA | Yes |
Addresses
Primary practice location
701 Bristol Pike
Croydon, PA 19021-5412
Mailing address
701 Bristol Pike
Croydon, PA 19021-5412
Phone (215) 785-3537
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012651090001 | Medicaid | PA |
Other providers in Croydon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.