MATT AMIDAN
NPI 1174203467
Pharmacist in Moab, UT

Active since July 20, 2023

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matt Amidan NPPES

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

MATT AMIDAN (NPI 1174203467) is an individual pharmacist in Moab, Utah, licensed in Utah (7550499-1701) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1174203467
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMATT AMIDAN
Location Address290 S MAIN STMoab, UT 84532-2596
Mailing Address290 S Main StMoab, UT 84532-2509 · (435) 313-2012
Sole ProprietorYes
Enumeration DateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
NPI 1174203467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in UT · 7550499-1701
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.
290 S MAIN ST, Moab, UT 84532

Other Providers at the Same Location NPPES 2

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

Pharmacist
290 S MAIN ST
MOAB, UT 84532
Pharmacist
290 S MAIN ST
MOAB, UT 84532

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 Amidan's NPI number?

The NPI number for Matt Amidan is 1174203467. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Matt Amidan located?

Matt Amidan practices at 290 S Main St, Moab, UT 84532. The listed phone number is (435) 313-2012.

What is Matt Amidan'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 Matt Amidan was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.