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DR. GAJAN TRISTAN MATHIVANAN PHARM.D
NPI 1609485044
Pharmacist in Angels Camp, CA

Active since July 30, 2020
230 S MAIN ST, ANGELS CAMP, CA 95222(209) 736-4623 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gajan Tristan Mathivanan Pharm.d NPPES

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

DR. GAJAN TRISTAN MATHIVANAN PHARM.D (NPI 1609485044) is an individual pharmacist in Angels Camp, California, licensed in California (82486) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1609485044
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. GAJAN TRISTAN MATHIVANANCredential: PHARM.D
Location Address230 S MAIN STAngels Camp, CA 95222-9359
Mailing Address0756 Williow Springs DrSoulsbyville, CA 95372 · (314) 604-0368
Phone(209) 736-4623
Sole ProprietorNo
Enumeration DateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1609485044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 82486
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.
230 S MAIN ST, Angels Camp, CA 95222
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Other Providers at the Same Location NPPES 5

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

WARDA NAWAZ PHARMD, RPH
Pharmacist
230 S MAIN ST
ANGELS CAMP, CA 95222
Calaveras County (209) 736-4623
DEAN STANLEY WESTPHALEN R.PH.
Pharmacist
230 S MAIN ST
ANGELS CAMP, CA 95222
Calaveras County (209) 736-4623
MECHELE INEZ ROESSLER VACCINATING TECH
Pharmacy Technician
230 S MAIN ST
ANGELS CAMP, CA 95222
Calaveras County (209) 736-4623
NATALIE TIBIO
Pharmacist
230 S MAIN ST
ANGELS CAMP, CA 95222
Calaveras County (209) 736-4623
NANCY THAI
Pharmacist
230 S MAIN ST
ANGELS CAMP, CA 95222
Calaveras County (209) 736-4623

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 Gajan Mathivanan's NPI number?

The NPI number for Gajan Mathivanan is 1609485044. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Gajan Mathivanan located?

Gajan Mathivanan practices at 230 S Main St, Angels Camp, CA 95222. The listed phone number is (209) 736-4623.

What is Gajan Mathivanan'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 Gajan Mathivanan was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.