Matthew Basile, PHARM. D, R.PH
Individual provider Active NPI Pharmacist · Wallingford, CT
NPI 1851744296 · NPPES record last updated Jul 21, 2016
Key facts
- NPI
- 1851744296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PCT.0013849 (CT)
- Practice address
- 605 N Colony Rd
Wallingford, CT 06492-3109 - Phone
- (203) 265-3600
- NPI assigned
- Jul 21, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0013849 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Connecticut Inc | Past | Accepting new patients | |
| Rite Aid of Connecticut Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0013849 | CT | Yes |
Addresses
Primary practice location
605 N Colony Rd
Wallingford, CT 06492-3109
Mailing address
605 N Colony Rd
Wallingford, CT 06492-3109
Other providers in Wallingford, CT
- Doreen Gail Barile
- Breanna Lynn Barra
- Melissa Barra
- Kristie Barry-Ayres
- Michele Palmucci Barry
- Charlston Bath
- Morgan Heather Bau
- Erica Bauer
- Sarah Baum
- Carolyn S. Beale
All providers in Wallingford, CT · Pharmacist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.