JONATHAN MATA PHARMD
NPI 1184229098
Pharmacist in Mendota, IL

Active since December 01, 2020
1212 13TH AVE, MENDOTA, IL 61342(815) 538-2095 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Mata Pharmd NPPES

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

JONATHAN MATA PHARMD (NPI 1184229098) is an individual pharmacist in Mendota, Illinois, licensed in Illinois (051291928) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1184229098
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJONATHAN MATACredential: PHARMD
Location Address1212 13TH AVEMendota, IL 61342-1411
Mailing Address1212 13th AveMendota, IL 61342-1411
Sole ProprietorNo
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
NPI 1184229098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051291928
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.
1212 13TH AVE, Mendota, IL 61342

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
1212 13TH AVE
MENDOTA, IL 61342
Pharmacy
1212 13TH AVE
MENDOTA, IL 61342

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 Jonathan Mata's NPI number?

The NPI number for Jonathan Mata is 1184229098. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Jonathan Mata located?

Jonathan Mata practices at 1212 13th Ave, Mendota, IL 61342. The listed phone number is (815) 538-2095.

What is Jonathan Mata'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 Jonathan Mata was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.