Active NPI
Matthew Jon Poyant, RPH
- Pharmacist
- East Providence, RI
National Provider Identifier
1497046122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03741
- Practice address
- 655 Warren Ave
East Providence, RI 02914-1404 - Phone
- (401) 434-5700
- NPI assigned
- Apr 28, 2011
- 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 | 03741 | RI | Primary |
Addresses
Primary practice location
655 Warren Ave
East Providence, RI 02914-1404
Mailing address
34 Ashbrook Dr
Cranston, RI 02921-7502
Phone (401) 822-3216
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03741 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1497046122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 ASHBROOK DR",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029217502",
"telephone_number": "401-822-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 WARREN AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029141404",
"telephone_number": "401-434-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POYANT",
"first_name": "MATTHEW",
"middle_name": "JON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "03741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.