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: July 19, 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
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

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.

Pharmacist
230 S MAIN ST
ANGELS CAMP, CA 95222
Pharmacist
230 S MAIN ST
ANGELS CAMP, CA 95222
Pharmacist
230 S MAIN ST
ANGELS CAMP, CA 95222
Pharmacist
230 S MAIN ST
ANGELS CAMP, CA 95222
Pharmacy Technician
230 S MAIN ST
ANGELS CAMP, CA 95222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609485044, enumerated as an "individual" on July 30, 2020.

The provider is located at 230 S MAIN ST ANGELS CAMP, CA 95222 and the phone number is (209) 736-4623.

Pharmacist with taxonomy code 183500000X.