Active NPI
W Matthew Strayer, PHARM D, R. PH.
- Pharmacist
- La Porte City, IA
National Provider Identifier
1821207515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19203
- Practice address
- 601 Highway 218 N
La Porte City, IA 50651-1012 - Phone
- (319) 342-3620
- Fax
- (319) 342-3617
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 19203 | IA | Primary |
Addresses
Primary practice location
601 Highway 218 N
La Porte City, IA 50651-1012
Mailing address
3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-7600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8383 | Medicaid | IA | |
| 8409 | Medicaid | IA | |
| 8375 | Medicaid | IA |
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19203 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821207515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-272-7600",
"fax_number": "319-272-7597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 HIGHWAY 218 N",
"city": "LA PORTE CITY",
"state": "IA",
"postal_code": "506511012",
"telephone_number": "319-342-3620",
"fax_number": "319-342-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAYER",
"first_name": "W MATTHEW",
"name_prefix": "Mr.",
"credential": "PHARM D, R. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8383",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8409",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8375",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Porte City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.