Matthew Edward Shepard

Primary specialty

PharmacistTaxonomy code 183500000X

License

27190 Issued in NC

Practice address

11314 US 15 501 N
Chapel Hill, NC 27517-6374

Phone

(919) 929-5664

NPI assigned

Aug 4, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1821513441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 NEWTON DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277079744",
            "telephone_number": "910-612-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 US 15 501 N",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176374",
            "telephone_number": "919-929-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "MATTHEW",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Shen, PT
• Colette Joan Shen, MD
• Sarek Alexander Shen, MD
• Christina Lorraine Shenvi, MD, PHD
• Kevin McCrae Shepard, PH.D.
• Hazel I Shepherd, PNP
• Casey Poff Sheppard, PT
• Daniel Robert Sheradin, D.C.
• Laura Marie Sheridan
• Lucas Forrest Sheridan, DO

• Pharmacist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.