Active NPI
Matthew John Carrier, CPHT
- Pharmacy Technician
- Caro, MI
National Provider Identifier
1801504550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 5303005632
- Practice address
- 364 Breck Dr
Caro, MI 48723-1202 - Phone
- (810) 449-1861
- NPI assigned
- Nov 11, 2022
- Last updated
- Nov 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 5303005632 | MI | Primary |
Addresses
Primary practice location
364 Breck Dr
Caro, MI 48723-1202
Mailing address
364 Breck Dr
Caro, MI 48723-1202
Phone (810) 449-1861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C660589429675 | Other | MI | DRIVER'S LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mattcarrier@live.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5303005632 | MI | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1801504550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 BRECK DR",
"city": "CARO",
"state": "MI",
"postal_code": "487231202",
"telephone_number": "810-449-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 BRECK DR",
"city": "CARO",
"state": "MI",
"postal_code": "487231202",
"telephone_number": "810-449-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRIER",
"first_name": "MATTHEW",
"middle_name": "JOHN",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": "5303005632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "C660589429675",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mattcarrier@live.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "364 Breck Dr",
"city": "Caro",
"state": "MI",
"country_code": "US",
"postal_code": "487231202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Caro, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.