Individual provider Active NPI

Matthew Mitchell Lacroix, PHARM.D RPH

  • Pharmacotherapy Pharmacist
  • Kingston, RI
National Provider Identifier
1982773743
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
3436 Issued in NH
Practice address
7 Greenhouse Rd
Kingston, RI 02881-2018
Phone
(401) 874-5023
NPI assigned
Nov 7, 2006
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 26359 MA
Pharmacotherapy Pharmacist 1835P1200X 051716 NY
Pharmacotherapy Pharmacist 1835P1200X RPH6001 RI
Pharmacotherapy Pharmacist 1835P1200X 3436 NH Primary

Addresses

Primary practice location

7 Greenhouse Rd
Kingston, RI 02881-2018

Mailing address

7 Greenhouse Rd
Kingston, RI 02881-2018
Phone (401) 874-5023

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26359MAMDPharmacotherapy Pharmacist
RPH6001RIMDPharmacotherapy Pharmacist
051716NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1982773743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GREENHOUSE RD",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028812018",
            "telephone_number": "401-874-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GREENHOUSE RD",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028812018",
            "telephone_number": "401-874-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "MATTHEW",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MA",
            "license": "26359",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "051716",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "RI",
            "license": "RPH6001",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NH",
            "license": "3436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.