Matthew Girard Hermenau, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

238298 Issued in MA

Practice address

830 Chalkstone Ave
Providence, RI 02908-4734

Phone

(401) 723-7100

NPI assigned

Jul 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1659933232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084734",
            "telephone_number": "401-273-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084734",
            "telephone_number": "401-723-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMENAU",
        "first_name": "MATTHEW",
        "middle_name": "GIRARD",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "238298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "matthew.hermenau@va.gov",
            "affiliation": "N",
            "endpointDescription": "employee email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "830 Chalkstone Ave",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029084734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arnold Harvey Herman, M.D., FACS
• Carolyne Kidake Herman, PMHNP
• Debra Sue Herman, PH.D.
• Karl Herman, M.D.
• Travis Hermance, LICSW
• Andrea Hernandez, RN
• Ashley Hernandez
• Ashley W Hernandez, MSN, AGACNP-BC
• Elianny Hernandez, MSW, LCSW
• Jocelyn Hernandez

• All providers in Providence, RI
• Pharmacist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.