Active NPI
Matthew J Brightbill, PHARMD
- Pharmacist
- East Petersburg, PA
National Provider Identifier
1487235651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP442214
- Practice address
- 1110 Enterprise Rd
East Petersburg, PA 17520-1604 - Phone
- (717) 925-2380
- Fax
- (717) 925-2399
- NPI assigned
- Apr 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | RP442214 | PA | Primary |
Addresses
Primary practice location
1110 Enterprise Rd
East Petersburg, PA 17520-1604
Mailing address
1110 Enterprise Rd
East Petersburg, PA 17520
Phone (717) 925-2380
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPI002406 | Other | PA | AUTH TO ADMINISTER INJECTABLES |
| RP442214 | Other | PA | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| RP442214 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1487235651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 ENTERPRISE RD",
"city": "EAST PETERSBURG",
"state": "PA",
"postal_code": "17520",
"telephone_number": "717-925-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 ENTERPRISE RD",
"city": "EAST PETERSBURG",
"state": "PA",
"postal_code": "175201604",
"telephone_number": "717-925-2380",
"fax_number": "717-925-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHTBILL",
"first_name": "MATTHEW",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP442214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUTH TO ADMINISTER INJECTABLES",
"identifier": "RPI002406",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RP442214",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Petersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.