LUKE FRANCIS MATTSON (NPI# 1346762739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346762739 |
Entity Type | Individual |
Full Name | LUKE FRANCIS MATTSON |
Credential | PHARMD |
Practice Address |
60 West Hillcrest Avenue Havertown PA 19083 |
Mailing Address |
60 W Hillcrest Ave Havertown PA 19083-1433 |
Practice Telephone | (610) 812-7978 |
Mailing Telephone | 6108127978 |
Enumeration Date | 2017-07-07 |
Last Update Date | 2017-07-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | RP451483 | PA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | AUTHORIZATION TO ADMINISTER INJECTABLES | RPI011407 | 01 |
PA | PHARMACY LICENSE | RP451483 | 01 |
Street Address |
60 WEST HILLCREST AVENUE |
City | HAVERTOWN |
State | PA |
Zip Code | 19083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
1508106618 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 116 Township Line Rd., Unit 204, Havertown, PA 19083 | 2013-02-26 |
Find all providers in zip 19083 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003373259 | Oluwafemi Adegboyega | Pharmacist | 1925 Lawrence Rd # Aptg11, Havertown, PA 19083-1703 | 2019-02-25 |
1134691181 | Selena Majeed | Pharmacist | 1305 W Chester Pike Ste 8, Havertown, PA 19083-2929 | 2018-12-31 |
1710337662 | Cibi Ann Kandammalil | Pharmacist | 1508 Fairview Ave, Havertown, PA 19083-4225 | 2016-06-21 |
1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
1790121481 | Onyinyechi Yvonneann Ezeugo | Pharmacist | 1925 Lawrence Rd Apt 12d, Havertown, PA 19083-1767 | 2013-05-21 |
1386920791 | Amanda Grace Reed | Pharmacist | 1735 Hawthorne Ave, Havertown, PA 19083-1626 | 2011-10-30 |
1922308089 | Kimberly Hassinger | Pharmacist | 116 W Township Line Rd, Havertown, PA 19083-5235 | 2010-10-23 |
1548428436 | Katie Ang | Pharmacist | 16 Woodbine Rd, Havertown, PA 19083-4426 | 2008-05-28 |
1649391699 | Vishal Kapoor | Pharmacist | 7 Foster Ave, Havertown, PA 19083-5401 | 2007-04-03 |
1245328558 | Michael Andrew Patton | Pharmacist | 314 Lansdowne Rd, Havertown, PA 19083-5322 | 2006-10-11 |
Find all providers in HAVERTOWN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.