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MARK IRA VAN MATRE
NPI 1396621306
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in London, OH

Active since August 14, 2025
230 LAFAYETTE ST, LONDON, OH 43140(740) 852-7550(740) 852-7551 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark Ira Van Matre NPPES

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

MARK IRA VAN MATRE (NPI 1396621306) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in London, Ohio, licensed in Ohio (03445796) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1396621306
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMARK IRA VAN MATRE
Location Address230 LAFAYETTE STLondon, OH 43140-9059
Mailing Address124 Regency DrCedarville, OH 45314-9501
Phone(740) 852-7550
Fax(740) 852-7551
Sole ProprietorNo
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1396621306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in OH · 03445796
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
230 LAFAYETTE ST, London, OH 43140
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Other Providers at the Same Location NPPES 7

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

MY LINH LI
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
230 LAFAYETTE ST
LONDON, OH 43140
Madison County (740) 852-7550
MICHELLE LYNN ANDERS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
230 LAFAYETTE ST
LONDON, OH 43140
Madison County (740) 852-7550
DEVON DEYO
Pharmacist
230 LAFAYETTE ST
LONDON, OH 43140
Madison County (740) 852-7550
LEANNE MONROE RPH
Pharmacist
230 LAFAYETTE ST
LONDON, OH 43140
Madison County (740) 852-7550
ALI ALFAOUR PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
230 LAFAYETTE ST
LONDON, OH 43140
Madison County (740) 852-7550
REBECCA PALLAY RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
230 LAFAYETTE ST
LONDON, OH 43140
Madison County (740) 852-7550
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
230 LAFAYETTE ST
LONDON, OH 43140
Madison County (740) 852-7550

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 Mark Van Matre's NPI number?

The NPI number for Mark Van Matre is 1396621306. It was assigned to this individual provider in the NPPES registry on August 14, 2025.

Where is Mark Van Matre located?

Mark Van Matre practices at 230 Lafayette St, London, OH 43140. The listed phone number is (740) 852-7550.

What is Mark Van Matre's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Mark Van Matre was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.