Individual provider Active NPI

Matthew Tricomi, PHARM.D.

  • Pharmacist
  • Niles, OH
National Provider Identifier
1831529056
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03132113 Issued in OH
Practice address
573 N Rhodes Ave
Niles, OH 44446-3825
Phone
(330) 550-6932
NPI assigned
Nov 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03132113 OH Primary

Addresses

Primary practice location

573 N Rhodes Ave
Niles, OH 44446-3825

Mailing address

573 N Rhodes Ave
Niles, OH 44446-3825
Phone (330) 550-6932

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

State licenses

LicenseStateTypeSpecialty
03132113OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1831529056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 N RHODES AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463825",
            "telephone_number": "330-550-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 N RHODES AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463825",
            "telephone_number": "330-550-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICOMI",
        "first_name": "MATTHEW",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03132113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.