Matthew Camarato, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051038920 Issued in IL

Practice address

901 S Broadway
Goreville, IL 62939-2477

Phone

(618) 995-1555

Fax

(618) 995-1553

NPI assigned

Feb 4, 2022

Last updated

Feb 4, 2022By the provider in NPPES

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

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

Locations

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.

• Camarato Drug Inc

  dba Goreville Professional Pharmacy

  • Community/Retail Pharmacy
  • Goreville, IL
  • NPI 1245493865
  NPD Authorized official
• Camarato Drug Inc

  dba Logan Professional Pharmacy

  • Community/Retail Pharmacy
  • Herrin, IL
  • NPI 1497766034
  NPD

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1669126181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 GRASSY RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629020492",
            "telephone_number": "618-922-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S BROADWAY",
            "city": "GOREVILLE",
            "state": "IL",
            "postal_code": "629392477",
            "telephone_number": "618-995-1555",
            "fax_number": "618-995-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARATO",
        "first_name": "MATTHEW",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051038920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally J Ballard, PA-C
• William J Banz
• Blue Note Therapy PLLC
• Blake William Cain, MD, MS
• Camarato Drug Inc (Goreville Professional Pharmacy)
• CLS Medical Inc. (Goreville Family Practice)
• Amber Conyea, PTA
• Counseling for a Change
• CR Vaughn Inc (Vaughn Electric)
• Emily A Finke, DMD

• Pharmacist in Goreville, IL
• Providers in Goreville, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.