MS. DONNA G MATTERA (NPI# 1760741003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760741003 |
| Entity Type | Individual |
| Full Name | MS. DONNA G MATTERA |
| Credential | RPH |
| Practice Address |
1053 Jason Pl Chatham IL 62629-2018 |
| Mailing Address |
7513 Southport Ln Springfield IL 62711-6771 |
| Practice Telephone | 2174837431 |
| Practice Fax Number | 2174837491 |
| Mailing Telephone | 2176223674 |
| Mailing Fax Number | 2174837491 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-037479 | IL | Pharmacy Service Providers |
| Street Address |
1053 JASON PL |
| City | CHATHAM |
| State | IL |
| Zip Code | 62629-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003868928 | Hac 2, Inc | Pharmacy | 1053 Jason Pl, Chatham, IL 62629-2018 | 2006-05-17 |
| 1760093306 | Lillian Sherer | Pharmacist | 1053 Jason Pl, Chatham, IL 62629-2018 | 2020-08-16 |
| 1871030643 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 1053 Jason Pl, Chatham, IL 62629-2018 | 2017-01-31 |
| 1518000926 | Hac 2 Inc | Pharmacy | 1053 Jason Pl, Chatham, IL 62629-2018 | 2007-02-15 |
| 1760593420 | Barry B Reichart | Pharmacist | 1053 Jason Pl, Chatham, IL 62629-2018 | 2006-08-31 |
| 1013028885 | Delores Diane Friedrich | Pharmacist | 1053 Jason Pl, Chatham, IL 62629-2018 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482231 | Crystal Lynn Jordan | Nurse Practitioner | 638 Oakbrook Ave, Chatham, IL 62629 | 2020-09-18 |
| 1164523775 | Ball Chatham Comm Unit School District 5 | Local Education Agency (LEA) | 201 Mulberry Street, Chatham, IL 62629 | 2006-09-26 |
| 1962518860 | Jean Corriveau | Dentist | 1209 N. Main St., Chatham, IL 62629 | 2006-08-22 |
| 1811948201 | Joyner Therapy Services | Clinic/Center | 217 S. Adams, Golconda, IL 62629 | 2006-05-12 |
| 1174905574 | Sahar Yazdani | Family Medicine | 125 E Plummer Blvd Ste A, Chatham, IL 62629 | 2015-06-22 |
| 1376706234 | Advance Physical Therapy & Sports Medicine of Chatham LLC | Physical Therapist | 1089 Jason Pl, Chatham, IL 62629 | 2008-07-09 |
| 1225183890 | Kenneth Wayne Schmidt | Family Medicine | 125 E Plummer Blvd Ste A, Chatham, IL 62629 | 2007-01-24 |
| 1649496076 | Maurice Eugene Sullivan IIi | Chiropractor | 1209 N Main St, #b, Chatham, IL 62629-0264 | 2007-04-17 |
| 1891837027 | Sullivan Chiropractic of Chatham, P.C. | Chiropractor | 1209 N. Main St., #b, Chatham, IL 62629-0264 | 2007-02-13 |
| 1992293096 | Katrina Toran | Counselor | 111 E Walnut St Unit 491, Chatham, IL 62629-0816 | 2018-04-25 |
| Find all providers in zip 62629 | ||||
| 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 |
|---|---|---|---|---|
| 1972973147 | Aaron Nash | Pharmacist | 174 Ira Wyatt Rd, Chatham, LA 71226-9007 | 2015-10-01 |
| 1740666585 | Jillian Leigh Faxon | Pharmacist | 15 Coleman Street, Chatham, NY 12037 | 2015-08-04 |
| 1679965750 | Dina Mohamed | Pharmacist | 420 River Rd, Apt C5, Chatham, NJ 07928-1265 | 2015-02-26 |
| 1235125410 | Karl Frederick Popp | Pharmacist | 15 Coleman St, Chatham, NY 12037-1339 | 2005-09-23 |
| 1972101095 | Mitesh Patel | Pharmacist | 1050 N Main St, Chatham, IL 62629-1078 | 2020-10-12 |
| 1508479551 | William E. Brewer | Pharmacist | 1050 N Main St, Chatham, IL 62629-1078 | 2020-08-28 |
| 1760093306 | Lillian Sherer | Pharmacist | 1053 Jason Pl, Chatham, IL 62629-2018 | 2020-08-16 |
| 1225650799 | Brendan James Spence | Pharmacist | 1050 N Main St, Chatham, IL 62629-1078 | 2020-05-07 |
| 1538685722 | Joanna Szaro | Pharmacist | 15 Coleman St, Chatham, NY 12037-1339 | 2017-08-18 |
| 1952827289 | James Robert Jirus | Pharmacist | 1050 N Main St, Chatham, IL 62629-1078 | 2017-08-18 |
| Find all providers in CHATHAM | ||||
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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.