MEDICARE: MATTHEW WILLIAM REED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP459066	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RPI017221	OTHER	PA	COMMONWEALTH OF PENNSYLVANIA - BPOA

General Provider Information

NPI Number	:	1053108597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW WILLIAM REED

Provider Business Mailing Address
First Line	:	900 E CENTRE ST
Second Line	:
City	:	MAHANOY CITY
State	:	PA
Zip	:	17948-2944
Country	:	US
Telephone Number	:	570-900-1705
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 S MAIN ST
Second Line	:
City	:	SHENANDOAH
State	:	PA
Zip	:	17976-2332
Country	:	US
Telephone Number	:	570-462-1924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	04/21/2025

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Directions to “ MATTHEW WILLIAM REED ” Practice Location

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