Healthcare Provider Details

I. General information

NPI: 1568731016
Provider Name (Legal Business Name): MATTHEW R NUNES PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2011
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W 24TH ST
YUMA AZ
85364-6430
US

IV. Provider business mailing address

500 W 24TH ST
YUMA AZ
85364-6430
US

V. Phone/Fax

Practice location:
  • Phone: 928-782-2529
  • Fax:
Mailing address:
  • Phone: 480-435-3747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS019319
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: