Active NPI
Matthew Drake Palazzi, PHARMD
- Pharmacist
- Bradford, AR
National Provider Identifier
1447828140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15755
- Practice address
- 232 W Main St
Bradford, AR 72020-8808 - Phone
- (501) 344-2763
- NPI assigned
- Jun 17, 2021
- Last updated
- Jun 17, 2021
- 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 | PD15755 | AR | Primary |
Addresses
Primary practice location
232 W Main St
Bradford, AR 72020-8808
Mailing address
PO Box 112
Bradford, AR 72020-0112
Phone (501) 344-2763
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | outcomes |
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 |
|---|---|---|---|
| PD15755 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxeagle LLC | Current | Accepting new patients | |
| Thomas E. Winningham | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623888000000",
"number": "1447828140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "BRADFORD",
"state": "AR",
"postal_code": "720200112",
"telephone_number": "501-344-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W MAIN ST",
"city": "BRADFORD",
"state": "AR",
"postal_code": "720208808",
"telephone_number": "501-344-2763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAZZI",
"first_name": "MATTHEW",
"middle_name": "DRAKE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-17",
"last_updated": "2021-06-17",
"certification_date": "2021-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15755",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "outcomes",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "232 W Main St",
"city": "Bradford",
"state": "AR",
"country_code": "US",
"postal_code": "720208808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bradford, AR
- Bradford School District
- Cassidy Ramsey Cooper, PA-C
- Elizabeth A Hiser, APRN-CNP
- Inspire Therapy Services, Limited
- Glen C. Knowles, D.O.
- Rxeagle LLC (Winningham Pharmacy)
- Thomas E. Winningham (Winningham Drug Store)
- Jennifer Gayle Tindall, APRN, FNP-C
- White County Medical Center (Unity Health Bradford Medical Clinic)
- Jessica Alyse Wiggs, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.