Individual provider Active NPI

Matthew Januski, RPH

  • Pharmacist
  • Wilkes Barre, PA
National Provider Identifier
1720462898
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP449668 Issued in PA
Practice address
910 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6162
Phone
(570) 823-3363
NPI assigned
Jul 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP449668 PA Primary

Addresses

Primary practice location

910 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6162

Mailing address

8 Williams St
Edwardsville, PA 18704-1706
Phone (570) 283-9251

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
RP449668PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1720462898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILLIAMS ST",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187041706",
            "telephone_number": "570-283-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WILKES BARRE TOWNSHIP BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026162",
            "telephone_number": "570-823-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUSKI",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP449668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.