Mathew William Macziewski, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

13448 Issued in NE

Practice address

1601 Cornhusker Dr
South Sioux City, NE 68776-3924

Phone

(402) 494-8850

NPI assigned

Apr 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1902303977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CORNHUSKER DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763924",
            "telephone_number": "402-494-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CORNHUSKER DR",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763924",
            "telephone_number": "402-494-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACZIEWSKI",
        "first_name": "MATHEW",
        "middle_name": "WILLIAM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21248",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "13448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "13448",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "21248",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gage Luse, D.C.
• Pat E Luse, D.C.
• Tim E Luse, D.C.
• Jamie Leigh Mackling, LMHP
• Nicole M Macrander
• Ann Renee Madsen
• Alondra Lizbeth Magana Rodriguez
• Magdalena Magna-Munoz
• Jessica Mahler
• Vincent Mahon

• Pharmacist in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.