Matt'S Coastal Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MATT'S COASTAL PHARMACY LLC

Doing business as

Matt's Local Pharmacy

Practice address

88 E Main Rd
Middletown, RI 02842-4912

Phone

(401) 619-5020

Fax

(401) 619-4249

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Matthew Jennings Olivier, PHARMDNPI 1659633865

Title

Owner

Phone

(401) 575-6635

Specialties & licenses 1

Addresses

Other names 1

• Matt's Local Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Matt'S Coastal Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Matt'S Coastal Pharmacy LLC

  • Community/Retail Pharmacy
  • Middletown, RI
  • NPI 1811409014
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Jennings Olivier, PHARM. D.

  • Pharmacist
  • Newport, RI
  • NPI 1659633865
  NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1538909106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424912",
            "telephone_number": "401-619-5020",
            "fax_number": "401-619-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424912",
            "telephone_number": "401-619-5020",
            "fax_number": "401-619-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT'S COASTAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "OLIVIER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JENNINGS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-575-6635",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matt's Local Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Danielle Marshburn
• Debra Ann Martin, PTA
• Kristin Elizabeth Martin, LMHC
• Meredith Martin, BA, LMT, BCHN, CDSP
• Stefane Silva Matos, DMD
• Matt'S Coastal Pharmacy LLC
• Maxi Drug South LP
• Charles Francis McCaffrey, D.D.S.
• Loren McCarthy, PT
• Michelle McCombe, LICSW

• Long Term Care Pharmacy in Middletown, RI
• Providers in Middletown, RI by specialty
• Long Term Care Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.