Active NPI
Matthew Earney
- Pharmacist
- Fort Myers, FL
National Provider Identifier
1558692830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45018
- Practice address
- 14543 Global Pkwy Ste 100
Fort Myers, FL 33913-9446 - Phone
- (239) 275-5357
- NPI assigned
- Jan 26, 2010
- Reactivated
- Feb 11, 2022
- Last updated
- Mar 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 | PS45018 | FL | Primary |
Addresses
Primary practice location
14543 Global Pkwy Ste 100
Fort Myers, FL 33913-9446
Mailing address
14543 Global Pkwy Ste 100
Fort Myers, FL 33913-9446
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS45018 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX to Go LLC | Current | Accepting new patients | |
| Lifestyles Chiropractic | Past | Accepting new patients | |
| Eventus RX LLC | Past | Accepting new patients |
Locations
14543 Global Pkwy
Ste 100
Fort Myers, FL 33913
Phone (239) 275-5357
Organizations & group practices 3
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.
-
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- Fort Myers, FL
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- NPI 1598820821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1558692830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14543 GLOBAL PKWY STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339139446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14543 GLOBAL PKWY STE 100",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339139446",
"telephone_number": "239-275-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARNEY",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-26",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"deactivation_date": "2020-10-13",
"reactivation_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.