Craig Yukio Matsuda, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60167423 Issued in WA

Practice address

200 E Broadway Ave
Moses Lake, WA 98837-1718

Phone

(509) 765-1217

NPI assigned

Jan 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Moses Lake, WA
  • NPI 1609016799
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1659617199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BROADWAY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371718",
            "telephone_number": "509-765-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BROADWAY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371718",
            "telephone_number": "509-765-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUDA",
        "first_name": "CRAIG",
        "middle_name": "YUKIO",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60167423",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH3026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Rae Martinez
• Emilee Marie Mason
• Phyllis Ann Mason, COTA/L
• Wendy Anne Mason, ARNP
• Andrea Matson, DO
• Hollie L Matthews, MD
• Tiana Maua, BA
• Avery Maxfield, LMP
• Penny Talcott Mayo, RN, CDCES
• Qi Ying McClelland, MD

• Pharmacist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.