Individual provider Active NPI

Matthew Zrada

  • Pharmacist
  • Royersford, PA
National Provider Identifier
1477892040
Registry record updated Feb 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP447477 Issued in PA
Practice address
1824 E Ridge Pike
Royersford, PA 19468-2819
Phone
(610) 226-2152
NPI assigned
Feb 2, 2013
Last updated
Feb 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP447477 PA Primary
Pharmacist 183500000X RPH05186 RI

Addresses

Primary practice location

1824 E Ridge Pike
Royersford, PA 19468-2819

Mailing address

745 Bellingham LN
Harleysville, PA 19438-3804
Phone (215) 500-6587

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

LicenseStateTypeSpecialty
RP447477PAMDPharmacist
RPH05186RIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359763200000",
    "number": "1477892040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 BELLINGHAM LN",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194383804",
            "telephone_number": "215-500-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 E RIDGE PIKE",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194682819",
            "telephone_number": "610-226-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZRADA",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-02",
        "last_updated": "2013-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP447477",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH05186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2013; 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.