Individual provider Active NPI

Matthew Jon Gerhart, RPH

  • Pharmacist
  • Centre Hall, PA
National Provider Identifier
1619559762
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438088 Issued in PA
Practice address
132 The Meadows Dr
Centre Hall, PA 16828-9231
Phone
(814) 364-2161
Fax
(814) 364-3732
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14424 NC
Pharmacist 183500000X RP438088 PA Primary

Addresses

Primary practice location

132 The Meadows Dr
Centre Hall, PA 16828-9231

Mailing address

132 The Meadows Dr
Centre Hall, PA 16828-9231
Phone (814) 364-2161

Other practice location 1

435 Upper Georges Valley Rd
Spring Mills, PA 16875-9120
Phone (814) 404-9265

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14424NCMDDentist
RP438088PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1619559762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 THE MEADOWS DR",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168289231",
            "telephone_number": "814-364-2161",
            "fax_number": "814-364-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 THE MEADOWS DR",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168289231",
            "telephone_number": "814-364-2161",
            "fax_number": "814-364-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Upper Georges Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Mills",
            "state": "PA",
            "postal_code": "168759120",
            "country_code": "US",
            "telephone_number": "814-404-9265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERHART",
        "first_name": "MATTHEW",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14424",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre Hall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.