Active NPI
Matthew Mark Sales, PHARMD
- Pharmacist
- Des Moines, IA
National Provider Identifier
1891072815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21127
- Practice address
- 104 E Euclid Ave
Des Moines, IA 50313-4507 - Phone
- (515) 243-0601
- Fax
- (515) 288-8640
- NPI assigned
- Nov 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21127 | IA | Primary |
Addresses
Primary practice location
104 E Euclid Ave
Des Moines, IA 50313-4507
Mailing address
104 E Euclid Ave
Des Moines, IA 50313-4507
Phone (515) 243-0601
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1891072815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E EUCLID AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503134507",
"telephone_number": "515-243-0601",
"fax_number": "515-288-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E EUCLID AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503134507",
"telephone_number": "515-243-0601",
"fax_number": "515-288-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALES",
"first_name": "MATTHEW",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.