Active NPI
Matthew Ryan Estes, PHARMD
- Pharmacist
- Richmond, VA
National Provider Identifier
1760093793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202216788
- Practice address
- 312 E Broad St Ste 101
Richmond, VA 23219-1766 - Phone
- (804) 655-4419
- NPI assigned
- Aug 13, 2020
- 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 | 0202216788 | VA | Primary |
Addresses
Primary practice location
312 E Broad St Ste 101
Richmond, VA 23219-1766
Mailing address
312 E Broad St Ste 101
Richmond, VA 23219-1766
Phone (804) 655-4419
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 |
|---|---|---|---|
| 0202216788 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
312 E Broad St
Ste 101
Richmond, VA 23219
Phone (804) 655-4419
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1760093793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E BROAD ST STE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191766",
"telephone_number": "804-655-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E BROAD ST STE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191766",
"telephone_number": "804-655-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTES",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202216788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.