Matthew Geidel, PharmD
Pharmacist in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1104335173
StatusActive
Last updated in NPPESSep 21, 2017
Details
- NPI
- 1104335173
- Entity type
- Individual (NPI-1)
- Name
- Matthew Geidel
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 21, 2017
- Last updated
- Sep 21, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 77020 | CA | Yes |
Practice location
956 E Foothill BlvdSan Luis Obispo, CA 93405-1762
Phone 805-543-5697
Mailing address
1325 Breck StSan Luis Obispo, CA 93401-3020
Phone 620-217-5701
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 52 Pharmacist providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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