Active NPI
Matthew Eric Unruh, PHARMD
- Pharmacist
- Southampton, NY
National Provider Identifier
1922697978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066929
- Practice address
- 240 Meeting House LN
Southampton, NY 11968-5009 - Phone
- (631) 726-8240
- NPI assigned
- Jan 14, 2021
- Last updated
- Jan 14, 2021
- 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 | 066929 | NY | Primary |
Addresses
Primary practice location
240 Meeting House LN
Southampton, NY 11968-5009
Mailing address
1209 Oak Ave
West Islip, NY 11795-2403
Phone (516) 784-7548
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066929 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1922697978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 OAK AVE",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117952403",
"telephone_number": "516-784-7548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MEETING HOUSE LN",
"city": "SOUTHAMPTON",
"state": "NY",
"postal_code": "119685009",
"telephone_number": "631-726-8240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNRUH",
"first_name": "MATTHEW",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, NY
- Romulo Tubatan
- Tuckahoe Common School District
- Aaron Benjamin Turk, MD
- University Hospital at Stony Brook (Stony Brook Southampton Hospital)
- University Hospital at Stony Brook
- Anthony John Vacchio
- Rodolfo D Vaglienty, MD
- Donna Ceil Vallone, N.P.
- Allison Elizabeth Van Arsdale, D.O.
- Lia J Velys, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.