Matthew Douglas Shortell, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP451679 Issued in PA

Practice address

958 S Krocks Rd
Allentown, PA 18106-9798

Phone

(610) 530-7385

NPI assigned

Nov 25, 2020

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

Credentials

Doctor of Pharmacy

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.

• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1851995302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 S KROCKS RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 S KROCKS RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069798",
            "telephone_number": "610-530-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTELL",
        "first_name": "MATTHEW",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniele Shollenberger, CRNP
• Stephen R Shore, MD
• Glenn M Short, MD
• Kevin Short, D.P.M
• Spencer Hamilton Short, MD
• Ashish Kumar Shrestha, M.D.
• Biraj Shrestha, MD
• Raman Shrestha, DO
• Shawn David Shucavage, D.D.S.
• Susanna C Shuey, P.A.

• Pharmacist in Allentown, PA
• Providers in Allentown, PA by specialty
• Pharmacist in Pennsylvania

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