Active NPI
Matthew Stephen Richardson, PHARMD
- Pharmacist
- Charleston, WV
National Provider Identifier
1538890884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0013270
- Practice address
- 501 Morris St
Charleston, WV 25301-1326 - Phone
- (304) 546-3620
- NPI assigned
- Jun 17, 2022
- Last updated
- Jun 17, 2022
- 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 | RP0013270 | WV | Primary |
Addresses
Primary practice location
501 Morris St
Charleston, WV 25301-1326
Mailing address
10945 Waterloo Smith Church Rd
Leon, WV 25123-8581
Phone (304) 546-3620
Other practice location 1
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 546-3620
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 |
|---|---|---|---|
| RP0013270 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1538890884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10945 WATERLOO SMITH CHURCH RD",
"city": "LEON",
"state": "WV",
"postal_code": "251238581",
"telephone_number": "304-546-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MORRIS ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011326",
"telephone_number": "304-546-3620"
}
],
"practiceLocations": [
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-546-3620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "MATTHEW",
"middle_name": "STEPHEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-17",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0013270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.