Matthew Ryan Houlihan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

I068857-01 Issued in NY

Practice address

2660 Jerusalem Ave
North Bellmore, NY 11710-1836

Phone

(516) 409-0907

NPI assigned

Oct 17, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CVS Albany LLC

  • Pharmacy
  • North Bellmore, NY
  • NPI 1053419689
  NPD
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1982320313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PEBBLE LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561212",
            "telephone_number": "516-306-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 JERUSALEM AVE",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101836",
            "telephone_number": "516-409-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULIHAN",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I068857-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.cvs.com",
            "affiliation": "N",
            "address_1": "28 Pebble Ln",
            "city": "Levittown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117561212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sanarah Hayon, M.S., SLP-CCC
• Katierose Healey, ATC
• Health Furniture Concepts, Inc
• Heart to Home, Inc.
• Susan Hilman, PT
• John Paul Ickowicz, D.D.S.
• Daniela Ieraci, DPT
• Infinity Family Health NP Consultant PLLC
• Denise Ingenito, LCSW
• Insight Medical Lab Inc

• Pharmacist in North Bellmore, NY
• Providers in North Bellmore, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.