Active NPI
Matthew Frey
- Pharmacist
- Lakewood Ranch, FL
National Provider Identifier
1447620737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54150
- Practice address
- 14415 Arbor Green TRL
Lakewood Ranch, FL 34202-8409 - Phone
- (941) 739-5752
- NPI assigned
- Sep 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS54150 | FL | Primary |
Addresses
Primary practice location
14415 Arbor Green TRL
Lakewood Ranch, FL 34202-8409
Mailing address
14415 Arbor Green Trail
Bradenton, FL 34202
Phone (941) 739-5752
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS54150 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Lakewood Ranch, FL
- NPI 1366692972
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1447620737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14415 ARBOR GREEN TRAIL",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34202",
"telephone_number": "941-739-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14415 ARBOR GREEN TRL",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342028409",
"telephone_number": "941-739-5752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.