MARIAM MATTA
NPI 1194209114
Pharmacist in Antioch, CA

Active since September 17, 2018
3416 DEER VALLEY RD, ANTIOCH, CA 94531(925) 978-8000 Get Directions Write a Review

NPPES record last updated: September 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mariam Matta NPPES

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

MARIAM MATTA (NPI 1194209114) is an individual pharmacist in Antioch, California, licensed in California (RPH78597) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1194209114
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARIAM MATTA
Location Address3416 DEER VALLEY RDAntioch, CA 94531-6650
Mailing Address200 Wilmot RdDeerfield, IL 60015-4620 · (847) 315-2500
Sole ProprietorYes
Enumeration DateSeptember 17, 2018
NPI 1194209114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · RPH78597
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.

3416 DEER VALLEY RD, Antioch, CA 94531

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Pharmacist
3416 DEER VALLEY RD
ANTIOCH, CA 94531
Pharmacist
3416 DEER VALLEY RD
ANTIOCH, CA 94531
Pharmacist
3416 DEER VALLEY RD
ANTIOCH, CA 94531
Pharmacist
3416 DEER VALLEY RD
ANTIOCH, CA 94531
Pharmacist
3416 DEER VALLEY RD
ANTIOCH, CA 94531
Pharmacy
3416 DEER VALLEY RD
ANTIOCH, CA 94531

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 Mariam Matta's NPI number?

The NPI number for Mariam Matta is 1194209114. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Mariam Matta located?

Mariam Matta practices at 3416 Deer Valley Rd, Antioch, CA 94531. The listed phone number is (925) 978-8000.

What is Mariam Matta'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 Mariam Matta was last updated on September 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.