Matt'S Coastal Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MATT'S COASTAL PHARMACY LLC

Practice address

88 E Main Rd
Middletown, RI 02842-4912

Phone

(401) 575-6635

NPI assigned

Oct 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Olivier, PHARMDNPI 1659633865

Title

Owner

Phone

(401) 619-5020

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI2 enrollments

Enrollment records 2

Tax ID family

Matt'S Coastal Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Matt'S Coastal Pharmacy LLC

  • Long Term Care Pharmacy
  • Middletown, RI
  • NPI 1538909106
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Jennings Olivier, PHARM. D.

  • Pharmacist
  • Newport, RI
  • NPI 1659633865
  NPD Authorized official

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1811409014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424912",
            "telephone_number": "401-619-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424912",
            "telephone_number": "401-575-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT'S COASTAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "OLIVIER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-619-5020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Martin, PTA
• Kristin Elizabeth Martin, LMHC
• Meredith Martin, BA, LMT, BCHN, CDSP
• Stefane Silva Matos, DMD
• Matt'S Coastal Pharmacy LLC
• Maxi Drug South LP
• Charles Francis McCaffrey, D.D.S.
• Loren McCarthy, PT
• Michelle McCombe, LICSW
• Cheryl A McCray, PRINCIPAL COUNSELOR

• Community/Retail Pharmacy in Middletown, RI
• Providers in Middletown, RI by specialty
• Community/Retail Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.