MATT'S MEDICINE STORE
NPI 1073551495
Pharmacy - Community/Retail Pharmacy in Independence, MO

Active since June 04, 2006
11200 1-2 E US HIGHWAY 24, INDEPENDENCE, MO 64054(816) 833-3636(816) 833-1071 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matt's Medicine Store NPPES

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

MATT'S MEDICINE STORE (NPI 1073551495) is a healthcare organization registered as a community/retail pharmacy in Independence, Missouri and active in the NPI registry since June 2006. The organization lists Charles Matthew Mallinson, Member, as its authorized official.

NPPES Registry Identity

NPI1073551495
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMATT'S RX,LLC
Location Address11200 1-2 E US HIGHWAY 24Independence, MO 64054-1514
Mailing Address11200 1-2 E Us Highway 24Independence, MO 64054-1514 · (816) 833-3636 · Fax (816) 833-1071
Fax(816) 833-1071
Organization SubpartNo
Authorized OfficialCharles Matthew MallinsonMember · (816) 833-3636
Enumeration DateJune 4, 2006
Last NPPES UpdateDecember 8, 2009
NPI 1073551495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MO · 004747
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

11200 1-2 E US HIGHWAY 24, Independence, MO 64054

Other Names 1

Doing Business AsMatt's Medicine Store

Other Identifiers 3

Medicaid622442408MO
Medicaid602442402MO
Medicare NSC5736970001MO

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 Matt's Rx,llc's NPI number?

The NPI number for Matt's Rx,llc is 1073551495. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider is doing business as Matt's Medicine Store.

Where is Matt's Rx,llc located?

Matt's Rx,llc is located at 11200 1-2 E Us Highway 24, Independence, MO 64054. The listed phone number is (816) 833-3636.

What is Matt's Rx,llc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Matt's Rx,llc was last updated on December 8, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.