Matthew Scott Mustaine, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

0303122413 Issued in OH

Practice address

7059 Orchard Centre Dr
Holland, OH 43528-7961

Phone

(567) 297-4110

NPI assigned

Mar 30, 2019

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1740741719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S FULTON LUCAS RD",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435589657",
            "telephone_number": "419-944-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7059 ORCHARD CENTRE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287961",
            "telephone_number": "567-297-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAINE",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "0303122413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Diane Morrow, LPN
• Phillip Morton
• Kimberley Annette Mosley Turner, RN
• Kaitlynn Mueller, PT, DPT
• Timothy Patrick Murphy
• Geneva Myres-Gregory
• National Seating & Mobility Inc
• National Seating & Mobility, Inc
• Natalie A Nechvatal, DMD
• Neighborhood Health Association of Toledo, Inc. (Holland Health Care)

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Holland, OH
• Providers in Holland, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.