Matthew James Paul, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

12012-40 Issued in WI

Practice address

N54W6135 Mill St Ste 300
Cedarburg, WI 53012-2050

Phone

(262) 375-0010

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedarburg Prescription Center Inc

  dba North Shore Pharmacy

  • Community/Retail Pharmacy
  • Cedarburg, WI
  • NPI 1730282880
  NPD (past)
• Cedarburg Prescription Center, Inc

  dba LTC North Shore Pharmacy & Compounding Center

  • Long Term Care Pharmacy
  • Cedarburg, WI
  • NPI 1306448246
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1558615476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N30W7000 LINCOLN BLVD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122255",
            "telephone_number": "262-377-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N54W6135 MILL ST STE 300",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122050",
            "telephone_number": "262-375-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12012-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Orvis, O.D.
• Allyson Otten, DPM
• Ozaukee Family Services
• Roberta Nancy Paquette, OTR
• Alexandra Nicole Paul
• Margaret Paulus, LPC
• Nial Scott Peterson, DDS
• Angela Marie Phillips, LPC, SAC-IT
• Teresa Pirillo, PT
• Mary B Pistiner, R.PH.

• Pharmacist in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.