Active NPI
Matthew M Luce, PHARM.D.
- Pharmacist
- St Simons Island, GA
National Provider Identifier
1750628707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH024826
- Practice address
- 3603 Frederica Rd
Saint Simons Island, GA 31522-1334 - Phone
- (912) 357-2357
- Fax
- (888) 626-5910
- NPI assigned
- Jan 10, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS47730 | FL | |
| Pharmacist | 183500000X | RPH024826 | GA | Primary |
Addresses
Primary practice location
3603 Frederica Rd
Saint Simons Island, GA 31522-1334
Mailing address
3603 Frederica Rd
Saint Simons Island, GA 31522-1334
Phone (912) 357-2357
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS47730 | FL | MD | Pharmacist |
| RPH024826 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederica Pharmacy Inc. | Current | Accepting new patients |
Locations
3603 Frederica Rd
St Simons Island, GA 31522
Phone (912) 357-2357
Organizations & group practices 1
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.
-
dba Frederica Pharmacy
- Community/Retail Pharmacy
- St Simons Island, GA
- NPI 1720741564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1750628707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3603 FREDERICA RD",
"city": "SAINT SIMONS ISLAND",
"state": "GA",
"postal_code": "315221334",
"telephone_number": "912-357-2357",
"fax_number": "888-626-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3603 FREDERICA RD",
"city": "SAINT SIMONS ISLAND",
"state": "GA",
"postal_code": "315221334",
"telephone_number": "912-357-2357",
"fax_number": "888-626-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCE",
"first_name": "MATTHEW",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-10",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47730",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH024826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Simons Island, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.