Active NPI
Matthew Dimetrosky
- Pharmacist
- Pittsburgh, PA
National Provider Identifier
1750004164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP451006
- Practice address
- 10600 Frankstown Rd
Pittsburgh, PA 15235-3074 - Phone
- (412) 241-3348
- NPI assigned
- Sep 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP451006 | PA | Primary |
Addresses
Primary practice location
10600 Frankstown Rd
Pittsburgh, PA 15235-3074
Mailing address
3118 Antheo CT
Murrysville, PA 15668-1333
Phone (973) 907-3613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP451006 | Other | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP451006 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1750004164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3118 ANTHEO CT",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681333",
"telephone_number": "973-907-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 FRANKSTOWN RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152353074",
"telephone_number": "412-241-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMETROSKY",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP451006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RP451006",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.