Individual provider Active NPI

Lisa Marie Matos-Reis

  • Pharmacist
  • Fall River, MA
National Provider Identifier
1801487509
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22840 Issued in MA
Practice address
501 Rodman St
Fall River, MA 02721-4217
Phone
(508) 672-2366
Fax
(844) 411-6215
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22840 MA Primary

Addresses

Primary practice location

501 Rodman St
Fall River, MA 02721-4217

Mailing address

501 Rodman St
Fall River, MA 02721-4217
Phone (508) 672-2366

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

State licenses

LicenseStateTypeSpecialty
22840MAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Stop & Shop Supermarket Company, LLC PastSince Jan 31, 2021 Accepting new patients
Stop and Shop Supermarket Co LLC PastSince Jan 31, 2021 Accepting new patients

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1801487509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 RODMAN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027214217",
            "telephone_number": "508-672-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 RODMAN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027214217",
            "telephone_number": "508-672-2366",
            "fax_number": "844-411-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS-REIS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "22840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.