Individual provider Active NPI

Barbara Matiatos, RPH

  • Pharmacist
  • Wyomissing, PA
National Provider Identifier
1891087326
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP035391L Issued in PA
Practice address
2210 State Hill Rd
Wyomissing, PA 19610-1904
Phone
(610) 378-1465
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP035391L PA Primary

Addresses

Primary practice location

2210 State Hill Rd
Wyomissing, PA 19610-1904

Mailing address

2210 State Hill Rd
Wyomissing, PA 19610-1904
Phone (610) 378-1465

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP035391LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrift Drug Inc Past Accepting new patients
Thrift Drug Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1891087326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 STATE HILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101904",
            "telephone_number": "610-378-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 STATE HILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101904",
            "telephone_number": "610-378-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIATOS",
        "first_name": "BARBARA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP035391L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.