Active NPI
Matthew Hunter Weatherly, PHARMD
- Pharmacist
- Anchorage, AK
National Provider Identifier
1407584253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18656
- Practice address
- 4315 Diplomacy Dr
Inpatient Pharmacy
Anchorage, AK 99508 - Phone
- (907) 729-2130
- NPI assigned
- Aug 10, 2022
- Last updated
- Aug 10, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P8210 | ID | |
| Pharmacist | 183500000X | 18656 | CO | Primary |
Addresses
Primary practice location
4315 Diplomacy Dr
Inpatient Pharmacy
Anchorage, AK 99508
Mailing address
2060 Sturbridge Cir
Anchorage, AK 99507-4412
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18656 | CO | MD | Pharmacist |
| P8210 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1407584253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 STURBRIDGE CIR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995074412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 DIPLOMACY DR",
"address_2": "INPATIENT PHARMACY",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99508",
"telephone_number": "907-729-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERLY",
"first_name": "MATTHEW",
"middle_name": "HUNTER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P8210",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "18656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.