Matste Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RTP.021895500 Issued in OH

Legal business name

MATSTE INC

Doing business as

The Hometown Pharmacy

Practice address

7160 Warren Sharon Rd
Brookfield, OH 44403-9657

Phone

(330) 448-8009

Fax

(330) 448-8029

NPI assigned

Sep 23, 2008

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald McDermott

Title

SVP Operations

Phone

(330) 319-3926

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• The Hometown Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Tax ID family

Matste Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Matste Inc

  dba The Hometown Pharmacy Long Term Care

  • Long Term Care Pharmacy
  • Brookfield, OH
  • NPI 1285235614
  NPD tax ID

Locations

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1891945283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 FOXWOOD CT",
            "address_2": "SUITE A",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144313",
            "telephone_number": "330-318-3926",
            "fax_number": "330-318-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 WARREN SHARON RD",
            "city": "BROOKFIELD",
            "state": "OH",
            "postal_code": "444039657",
            "telephone_number": "330-448-8009",
            "fax_number": "330-448-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATSTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "330-319-3926"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP.021895500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102317220-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117293",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2916910",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Madgar, RPH
• Paige Mason
• Samara Mason
• Zeleyna Matlock
• Matste Inc (The Hometown Pharmacy Long Term Care)
• Barbara McAnany, RPH
• Natalie McClurg
• Angel McCoy
• Kelly McKirgan
• Melissa Mensurati

• Community/Retail Pharmacy in Brookfield, OH
• Providers in Brookfield, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.