Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gennadiy Matatov, PHARMD

Individual provider Pharmacist · NPI 1295057552

Gennadiy Matatov, PHARMD is a Pharmacist in Bronx, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

781 Lydig Ave
Bronx, NY 10462-2144
Phone: (718) 822-1348
Fax: (718) 822-1792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 048673 (NY)

Record details

NPI number1295057552
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedFebruary 26, 2010
Last updated in NPPESFebruary 26, 2010

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