Active NPI
Matthew Bull, PHARM.D.
- Pharmacist
- Orange Park, FL
National Provider Identifier
1972988830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53335
- Practice address
- 410 Blanding Blvd
Orange Park, FL 32073-5051 - Phone
- (904) 276-6035
- NPI assigned
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | PS53335 | FL | Primary |
Addresses
Primary practice location
410 Blanding Blvd
Orange Park, FL 32073-5051
Mailing address
5900 Townsend Rd
Apt 727
Jacksonville, FL 32244-4569
Phone (386) 235-2220
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 |
|---|---|---|---|
| PS53335 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1972988830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 TOWNSEND RD",
"address_2": "APT 727",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322444569",
"telephone_number": "386-235-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BLANDING BLVD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735051",
"telephone_number": "904-276-6035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULL",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.