Provider Demographics
NPI:1629553862
Name:SHEARMAN, MATTHEW C (PHARMD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:C
Last Name:SHEARMAN
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 1:607 CHESTERVILLE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7735
Mailing Address - Country:US
Mailing Address - Phone:484-319-6186
Mailing Address - Fax:
Practice Address - Street 1:1395 E BOOT RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5934
Practice Address - Country:US
Practice Address - Phone:610-738-8870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP452783OtherPHARMACIST
PARPI012544OtherAUTHORIZATION TO ADMINISTER INJECTABLES