Matthew Polidora, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPI004608 Issued in PA

Practice address

3016 Route 940
Pocono Summit, PA 18346-7802

Phone

(570) 839-6670

NPI assigned

Nov 28, 2020

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

Doctor of Pharmacy

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 and National Provider Directory roles.

• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Pocono Summit, PA
  • NPI 1063700912
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1558965764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 DEEP HOLE RD",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "182221641",
            "telephone_number": "540-664-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 ROUTE 940",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "183467802",
            "telephone_number": "570-839-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIDORA",
        "first_name": "MATTHEW",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI004608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Lee Jones Jr., MDIV
• Taylor Marks, PA-C
• Jennifer Jean McGovern, NP
• Optical Nei Inc.
• Pennsylvania CVS Pharmacy LLC
• Kartik Rai, DO
• Cathy Nicole Richards, DO
• Rose Resiliency Center
• Waleska Belmar Salgado
• Ashley Sandowick, CRNP

• Pharmacist in Pocono Summit, PA
• Providers in Pocono Summit, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; 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.