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JACK MATTSON RPH
NPI 1063820405
Pharmacist in Wichita, KS

Active since July 29, 2014
3707 N WOODLAWN BLVD, WICHITA, KS 67220(316) 691-9134(316) 691-9138 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Mattson Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK MATTSON RPH (NPI 1063820405) is an individual pharmacist in Wichita, Kansas, licensed in Kansas (11225) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1063820405
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACK MATTSONCredential: RPH
Location Address3707 N WOODLAWN BLVDWichita, KS 67220-2222
Mailing Address3707 N Woodlawn BlvdWichita, KS 67220-2222 · (316) 691-9134 · Fax (316) 691-9138
Phone(316) 691-9134
Fax(316) 691-9138
Sole ProprietorNo
Enumeration DateJuly 29, 2014
✔ NPI 1063820405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in KS · 11225
Definition
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.
3707 N WOODLAWN BLVD, Wichita, KS 67220
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB ARTHUR DOEDEN PHARMD
Pharmacist
3707 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 691-9134
THUY LUONG
Pharmacist
3707 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 519-1794
MANDANA DOWLATSHAHI
Pharmacist
3707 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 691-9134
HUONG XUAN DONG
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3707 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 691-9134
CHELSEA MIKULECKY PHARMD
Pharmacist
3707 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 691-9134
PHUONG - VY NGOC LE
Pharmacist
3707 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 691-9134
DILLON COMPANIES LLC
Pharmacy (Community/Retail Pharmacy)
3707 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 691-9134
ERICA WILKINSON PHARM D
Pharmacist
3707 N WOODLAWN BLVD
WICHITA, KS 67220
Sedgwick County (316) 691-9134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Mattson's NPI number?

The NPI number for Jack Mattson is 1063820405. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Where is Jack Mattson located?

Jack Mattson practices at 3707 N Woodlawn Blvd, Wichita, KS 67220. The listed phone number is (316) 691-9134.

What is Jack Mattson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jack Mattson was last updated on July 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.