Matthew Julian Fernandez, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP451864 Issued in PA

Practice address

1536 N Atherton St
State College, PA 16803-3041

Phone

(814) 237-4133

NPI assigned

Sep 1, 2017

Last updated

Sep 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Thrift Drug Inc

  dba Rite Aid Pharmacy 11014

  • Community/Retail Pharmacy
  • State College, PA
  • NPI 1861591125
  NPD (past)
• Thrift Drug Inc

  dba Rite Aid Pharmacy 10408

  • Community/Retail Pharmacy
  • Hamburg, NJ
  • NPI 1114026341
  NPD (past)

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1457879116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 TOFTREES AVE APT 116",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031945",
            "telephone_number": "267-664-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N ATHERTON ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033041",
            "telephone_number": "814-237-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MATTHEW",
        "middle_name": "JULIAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua J Feldbauer, DC
• Angela M Fenush, DPT
• Jason Ferderber
• Sara B Ferguson, MD
• Heather Rae Ferlitch, DC, MS, LAC
• Mariana Annette Ferrer Fuenmayor, DO
• Aliyah Fetterolf, PA-C
• Bethanne Fetzer, MED, LPC
• Michael Warren Figart, DO
• Derrill C. Finch, D.D.S.

• Pharmacist in State College, PA
• Providers in State College, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.