MR. MATTHEW CLARY (NPI# 1376143677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376143677 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW CLARY |
| Credential | RPH |
| Practice Address |
17625 Torrence Ave Lansing IL 60438-4839 |
| Mailing Address |
13300 James Dr Saint John IN 46373-9085 |
| Practice Telephone | 7084749234 |
| Mailing Telephone | 2196825177 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.040455 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033374053 | Matthew Clary | Otolaryngology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2008-07-21 |
| 1538345004 | Matthew Todd Clary | Ophthalmology | 1655 Bernardin Ave, Suite 100, Columbia, SC 29204-2039 | 2008-01-15 |
| 1619194859 | Matthew Richard Clary | Dentist | 1132 Park Ave, Columbus, WI 53925-1609 | 2007-04-19 |
| Street Address |
17625 TORRENCE AVE |
| City | LANSING |
| State | IL |
| Zip Code | 60438-4839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679590962 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 17625 Torrence Ave, Lansing, IL 60438-4839 | 2006-07-16 |
| 1952901894 | Adaobi Okeke | Pharmacist | 17625 Torrence Ave, Lansing, IL 60438-4839 | 2020-10-29 |
| 1508466616 | John Alexander Sangueza | Pharmacist | 17625 Torrence Ave, Lansing, IL 60438-4839 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013429984 | Gentle Touch Healthcare Services | In Home Supportive Care | 18236 Ridgewood, Lansing, IL 60438 | 2017-10-31 |
| 1336658699 | Elizabeth M Cichocki | Speech-Language Pathologist | Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 | 2017-09-29 |
| 1023527595 | Sue Hecht | Speech-Language Pathologist | 18300 Greenbay, Lansing, IL 60438 | 2017-09-27 |
| 1275960130 | Senegal Enterprises Medical, Inc | Durable Medical Equipment & Medical Supplies | 3330 181st Place, Suite 103, Lansing, IL 60438 | 2013-10-08 |
| 1295062404 | Dominion Home Health Care Inc. | Home Health | 2521 Ridge Road, Suite 4, Lansing, IL 60438 | 2009-11-09 |
| 1013076348 | Wayne M Mrjenovich Dds PC | Dentist | 19111 Burnham Ave, Lansing, IL 60438 | 2006-12-06 |
| 1124198247 | Jennifer Meyer | Counselor | 17041 Chicago Ave, Lansing, IL 60438 | 2006-11-08 |
| 1821171182 | Nurse Coordinators & Home Health | Home Health | 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 | 2006-10-23 |
| 1275633133 | Hoovers Home Health Inc | Durable Medical Equipment & Medical Supplies | 3326 Ridge Rd, Lansing, IL 60438 | 2006-09-22 |
| 1942307053 | Brant T Molenaar | Optometrist | 3546 Ridge Road, Lansing, IL 60438 | 2006-09-20 |
| Find all providers in zip 60438 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945055 | Ali Mchawrab | Pharmacist | 5118 S Mlk Blvd, Lansing, MI 48911-3536 | 2020-02-27 |
| 1093348195 | Snehal Patel | Pharmacist | 5118 S Martin Luther King Jr Blvd, Lansing, MI 48911-3536 | 2020-02-17 |
| 1356857296 | Robert P Ross | Pharmacist | 1601 E Michigan Ave Ste 2, Lansing, MI 48912-2894 | 2017-12-14 |
| 1205382249 | Mohammed Zohair Vaid | Pharmacist | 3106 E Saginaw St, Lansing, MI 48912-4712 | 2016-08-30 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1730513862 | Eric D Roath | Pharmacist | 408 Kalamazoo Plz, Lansing, MI 48933-1901 | 2013-08-26 |
| 1619301090 | C Arla Avis Vinson | Pharmacist | 17355 Torrence Ave, Lansing, IL 60438-1018 | 2013-08-21 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1699037515 | Sandra Angela Campbell | Pharmacist | 7006 Captiva Dr, Lansing, MI 48917-5821 | 2012-06-15 |
| 1801160551 | Marshall Gordon | Pharmacist | 1121 Pacific Ave, Lansing, MI 48910-3564 | 2012-02-28 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.