Matthew Guarino
Individual provider Active NPI Pharmacist · Derby, NY
NPI 1982157657 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1982157657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 061946 (NY)
- Practice address
- 6939 Erie Rd
Derby, NY 14047-9406 - Phone
- (716) 947-5066
- NPI assigned
- Jul 29, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061946 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 061946 | NY | Yes |
Addresses
Primary practice location
6939 Erie Rd
Derby, NY 14047-9406
Mailing address
6939 Erie Rd
Derby, NY 14047-9406
Other providers in Derby, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.