Healthcare Provider Details

I. General information

NPI: 1548179260
Provider Name (Legal Business Name): SARA ASHLEY MATVEY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 FRANKLIN SQUARE DR
ROSEDALE MD
21237-3901
US

IV. Provider business mailing address

2509 MICHELS LN
PARKVILLE MD
21234-4917
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7000
  • Fax:
Mailing address:
  • Phone: 443-425-8602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number31129
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: