Individual provider Active NPI

Matthew Charles Sutley

  • Pharmacist
  • Franklin, PA
National Provider Identifier
1821750522
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP443750 Issued in PA
Practice address
541 Allegheny Blvd
Franklin, PA 16323-2919
Phone
(814) 432-2024
Fax
(814) 437-6760
NPI assigned
Oct 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP443750 PA Primary

Addresses

Primary practice location

541 Allegheny Blvd
Franklin, PA 16323-2919

Mailing address

541 Allegheny Blvd
Franklin, PA 16323-2919
Phone (814) 432-2024

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

LicenseStateTypeSpecialty
RP443750PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1821750522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 ALLEGHENY BLVD",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163232919",
            "telephone_number": "814-432-2024",
            "fax_number": "814-437-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 ALLEGHENY BLVD",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163232919",
            "telephone_number": "814-432-2024",
            "fax_number": "814-437-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTLEY",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.