Matthew Hall, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2015027703 Issued in MO

Practice address

7010 Pershing Ave
Saint Louis, MO 63130-4318

Phone

(314) 802-7012

Fax

(314) 312-6995

NPI assigned

Jan 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• Millbrook Pharmacy, Inc

  • Community/Retail Pharmacy
  • University City, MO
  • NPI 1033519251
  NPD (past)

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1801252606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 PERSHING AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304318",
            "telephone_number": "314-802-7012",
            "fax_number": "314-312-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 PERSHING AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304318",
            "telephone_number": "314-802-7012",
            "fax_number": "314-312-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2015027703",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051292761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Christine Hall, OTR
• Lorraine Hall
• Mary Hall, M.ED., L.P.C.
• Mary Clare Hall, MED, NCC
• Mary Lynn Hall, MA, LPC
• Michelle Lee Hall, LCSW
• Samuel Hall, MD
• Shantiela Hall
• Susan Mary Hall, M.ED
• Tiffany Danielle Hall

• Pharmacist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.