Active NPI
Matthew Anderson, RPH
- Pharmacist
- Holland, MI
National Provider Identifier
1801666300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302416659
- Practice address
- 3320 W Shore Dr
Holland, MI 49424-7753 - Phone
- (616) 994-1110
- NPI assigned
- Jan 5, 2024
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302416659 | MI | Primary |
Addresses
Primary practice location
3320 W Shore Dr
Holland, MI 49424-7753
Mailing address
17437 Hiawatha Dr
Spring Lake, MI 49456-9433
Phone (616) 402-4494
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302416659 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758931200000",
"number": "1801666300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17437 HIAWATHA DR",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494569433",
"telephone_number": "616-402-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 W SHORE DR",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494247753",
"telephone_number": "616-994-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MATTHEW",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-05",
"last_updated": "2025-09-27",
"certification_date": "2025-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302416659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.