Provider Demographics
NPI:1598015174
Name:SCHNUPP, MATTHEW JOSEPH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:JOSEPH
Last Name:SCHNUPP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10903 NEW HAMPSHIRE AVE
Mailing Address - Street 2:BUILDING 51, FOOD AND DRUG ADMINISTRATION
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20993
Mailing Address - Country:US
Mailing Address - Phone:631-760-3272
Mailing Address - Fax:631-760-3282
Practice Address - Street 1:10903 NEW HAMPSHIRE AVE
Practice Address - Street 2:BUILDING 51, FOOD AND DRUG ADMINISTRATION
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993
Practice Address - Country:US
Practice Address - Phone:631-300-5506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057302183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist