Healthcare Provider Details

I. General information

NPI: 1881547529
Provider Name (Legal Business Name): MATTHEW BAMBER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MATT BAMBER PHARMD

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 MEMORIAL DR
PINEHURST NC
28374-8710
US

IV. Provider business mailing address

806 RAYS BRIDGE RD
WHISPERING PINES NC
28327-5909
US

V. Phone/Fax

Practice location:
  • Phone: 910-715-5009
  • Fax:
Mailing address:
  • Phone: 413-204-2551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number700629
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: