MRS. ALICIA SHANA MATTSON (NPI# 1972812246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972812246 |
| Entity Type | Individual |
| Full Name | MRS. ALICIA SHANA MATTSON |
| Credential | R.PH. |
| Practice Address |
335 E Jimmie Leeds Rd Galloway NJ 08205-4127 |
| Practice Telephone | 6097482449 |
| Practice Fax Number | 6097480959 |
| Mailing Telephone | 6097482449 |
| Mailing Fax Number | 6097480959 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI02596800 | NJ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE IMMUNIZATION PROVIDER NUMBER | 28RJ02336 | 01 |
| NJ | STATE LICENSE NUMBER | 28RI02596800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821234683 | Alicia A Mattson | Contractor | 24 Briarpatch Ln, Clinton Corners, NY 12514-3030 | 2008-12-29 |
| 1316432719 | Alicia Mattson | Behavior Technician | 5900 Hollis St Ste X, Emeryville, CA 94608-2008 | 2018-06-27 |
| 1346506888 | Alicia Emily Mattson | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2012-04-10 |
| Street Address |
335 E JIMMIE LEEDS RD |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508078478 | Pharmacy Operations Inc | Pharmacy | 335 E Jimmie Leeds Rd, Galloway, NJ 08205-4127 | 2007-05-04 |
| 1174877757 | S.o.b Health System LLC | Clinic/Center | 335 E Jimmie Leeds Rd, Suite A, Galloway, NJ 08205-4127 | 2012-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| 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 |
|---|---|---|---|---|
| 1427407857 | Dustin Dickerson | Pharmacist | 1404 Four Star Dr E, Galloway, OH 43119-8441 | 2016-06-07 |
| 1861863383 | Daniel Distefano | Pharmacist | 236 E Jimmie Leeds Rd Unit A, Galloway, NJ 08205-4134 | 2015-10-09 |
| 1417191461 | Dominique Marie Fields | Pharmacist | 65 W. Jimmie Leeds Road, Atlanticare Regional Medical Center, Galloway, NJ 08240 | 2009-04-21 |
| 1134121809 | David S Fascia | Pharmacist | 401 S Pitney Rd, Galloway, NJ 08205-9780 | 2005-08-12 |
| 1255956397 | Samuel Allen | Pharmacist | 5690 W Broad St, Galloway, OH 43119-8127 | 2020-06-15 |
| 1679003982 | Sean Anthony Swisher | Pharmacist | 236 E Jimmie Leeds Rd Ste C, Galloway, NJ 08205-4134 | 2017-06-19 |
| 1932635968 | Brian Speer | Pharmacist | 5800 W Broad St, Galloway, OH 43119-9531 | 2017-05-11 |
| 1205362167 | Brooke Mazza | Pharmacist | 5800 W Broad St, Galloway, OH 43119-9531 | 2017-05-11 |
| 1619403318 | Michael Welty | Pharmacist | 5800 W Broad St, Galloway, OH 43119-9531 | 2017-05-02 |
| 1730429085 | Ruth Mary Hackney | Pharmacist | 65 W Jimmie Leeds Rd, Galloway, NJ 08205-9403 | 2013-02-25 |
| Find all providers in GALLOWAY | ||||
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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.