Matthew P Vance, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2009031401 Issued in MO

Practice address

4600 N Hanley Rd Ste B
Saint Louis, MO 63134-2715

Phone

(866) 997-3688

NPI assigned

Feb 24, 2013

Sex

Male

Sole proprietor

Yes

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Express Scripts Specialty Distribution Services, Inc.

  • Pharmacy
  • Saint Louis, MO
  • NPI 1467534826
  NPD
• Walgreen Co

  • Pharmacy
  • Ellisville, MO
  • NPI 1912912155
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1770823015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 WELLINGTON TER",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178345",
            "telephone_number": "314-488-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N HANLEY RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631342715",
            "telephone_number": "866-997-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-24",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2009031401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Neilly Vananne, PA
• Selena Lan Vanapruks, MD
• Maria Cristina Vanberkum, MD
• Claryssa Vance
• Janet Elaine Vance, AU.D.
• Taylor Vance
• Elizabeth Vancil, NNP-BC
• Nancy T. Vancleave, NP
• Robert Fred Vandeborne
• Katie Vandegriffe

• All providers in Saint Louis, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.