Individual provider Active NPI

Matthew J Buderer, R.PH.

  • Pharmacotherapy Pharmacist
  • Perrysburg, OH
National Provider Identifier
1780734889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
03319924 Issued in OH
Practice address
26611 Dixie Hwy
Suite 119
Perrysburg, OH 43551-1765
Phone
(419) 873-2800
Fax
(419) 873-0494
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 03319924 OH Primary

Addresses

Primary practice location

26611 Dixie Hwy
Suite 119
Perrysburg, OH 43551-1765

Mailing address

26611 Dixie Hwy
Suite 119
Perrysburg, OH 43551-1765
Phone (419) 873-2800

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03319924OHMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Buderer Drug Co. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780734889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26611 DIXIE HWY",
            "address_2": "SUITE 119",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511765",
            "telephone_number": "419-873-2800",
            "fax_number": "419-873-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26611 DIXIE HWY",
            "address_2": "SUITE 119",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511765",
            "telephone_number": "419-873-2800",
            "fax_number": "419-873-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDERER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "03319924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.