Individual provider Active NPI

Kara Lynne Matarrese, RPH

  • Pharmacist
  • Albany, NY
National Provider Identifier
1720268246
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044618 Issued in NY
Practice address
1706 Western Ave
Albany, NY 12203-4484
Phone
(518) 456-0742
Fax
(518) 464-9410
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044618 NY Primary

Addresses

Primary practice location

1706 Western Ave
Albany, NY 12203-4484

Mailing address

1706 Western Ave
Albany, NY 12203-4484
Phone (518) 456-0742

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

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1720268246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034484",
            "telephone_number": "518-456-0742",
            "fax_number": "518-464-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034484",
            "telephone_number": "518-456-0742",
            "fax_number": "518-464-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATARRESE",
        "first_name": "KARA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.