1. Home
  2. Directory
  3. Michigan
  4. Mattawan
  5. Pharmacy
  6. NPI Profile

MATTAWAN PHARMACY
NPI 1376655365
Pharmacy - Community/Retail Pharmacy in Mattawan, MI

Active since August 31, 2006
52366 N MAIN ST, MATTAWAN, MI 49071(269) 668-4571(269) 668-3439 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mattawan Pharmacy NPPES

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

MATTAWAN PHARMACY (NPI 1376655365) is a healthcare organization registered as a community/retail pharmacy in Mattawan, Michigan and active in the NPI registry since August 2006. The organization lists Edward Nantais, Owner Phcst, as its authorized official.

NPPES Registry Identity

NPI1376655365
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMATTAWAN PHARMACY
Location Address52366 N MAIN STMattawan, MI 49071-0069
Mailing AddressPo Box 69, 52366 N Main StMattawan, MI 49071-0069 · (269) 668-4571 · Fax (269) 668-3439
Phone(269) 668-4571
Fax(269) 668-3439
Organization SubpartNo
Authorized OfficialEdward NantaisOwner Phcst · (269) 668-4549
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 24, 2008
✔ NPI 1376655365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
Also ListedPharmacyTaxonomy 333600000X · License 5301005559 (MI)
52366 N MAIN ST, Mattawan, MI 49071
Open in Google Maps ↗

Other Identifiers 2

Medicaid2348565MI
Other2348565Other Id Number-commercial Number

Other Providers at the Same Location NPPES

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

AFAV ENTERPRISES LLC
Pharmacy (Community/Retail Pharmacy)
52366 N MAIN ST
MATTAWAN, MI 49071
Van Buren County (269) 668-3366

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 Mattawan Pharmacy's NPI number?

The NPI number for Mattawan Pharmacy is 1376655365. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Mattawan Pharmacy located?

Mattawan Pharmacy is located at 52366 N Main St, Mattawan, MI 49071. The listed phone number is (269) 668-4571.

What is Mattawan Pharmacy'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 Mattawan Pharmacy was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.