Provider Demographics
NPI:1023812609
Name:MATTHEWS PHARMACY INC.
Entity type:Organization
Organization Name:MATTHEWS PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLEGAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:845-647-6222
Mailing Address - Street 1:101 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:ELLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12428-1400
Mailing Address - Country:US
Mailing Address - Phone:845-647-6222
Mailing Address - Fax:845-647-1558
Practice Address - Street 1:101 CANAL ST
Practice Address - Street 2:
Practice Address - City:ELLENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12428-1400
Practice Address - Country:US
Practice Address - Phone:845-647-6222
Practice Address - Fax:845-647-1558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy