Matthew N Phelps

Primary specialty

PharmacistTaxonomy code 183500000X

License

063091 Issued in NY

Practice address

259 W Main St
Batavia, NY 14020-1938

Phone

(585) 344-0525

NPI assigned

Mar 27, 2019

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CVS Albany LLC

  • Pharmacy
  • Batavia, NY
  • NPI 1588768337
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1851852248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16517 STATE ROUTE 31",
            "city": "HOLLEY",
            "state": "NY",
            "postal_code": "144709016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 W MAIN ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201938",
            "telephone_number": "585-344-0525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 South Ave",
            "address_purpose": "LOCATION",
            "city": "Hilton",
            "state": "NY",
            "postal_code": "144681512",
            "country_code": "US",
            "telephone_number": "585-392-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "MATTHEW",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Perry
• Shari Perzia
• Noah Petti, MD
• Mary Ann Pfennig, OT/L
• Karin L Phelps, LMT
• Lucas Phillips
• Olivia Sophia Piacentini, PA
• Amy K Piccarreto, MSW
• Judith Pickard, MSN, RN, CDE
• William Baxter Pierce, M.D.

• Pharmacist in Batavia, NY
• Providers in Batavia, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.