MICHELLE BOUDREAU MATTINGLY
NPI 1801548755
Pharmacist in Meridian, MS

Active since January 21, 2022
715 BONITA DR, MERIDIAN, MS 39301(601) 286-6035 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Boudreau Mattingly NPPES

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

MICHELLE BOUDREAU MATTINGLY (NPI 1801548755) is an individual pharmacist in Meridian, Mississippi, licensed in Mississippi (T-16401) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1801548755
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMICHELLE BOUDREAU MATTINGLY
Location Address715 BONITA DRMeridian, MS 39301-4603
Mailing Address6545 A C Brown RdMeridian, MS 39305-9511 · (607) 426-5001
Sole ProprietorYes
Enumeration DateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
NPI 1801548755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MS · T-16401
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.
715 BONITA DR, Meridian, MS 39301

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 5

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

Eyewear Supplier
715 BONITA DR
MERIDIAN, MS 39301
Pharmacist
715 BONITA DR
MERIDIAN, MS 39301
Pharmacy (Community/Retail Pharmacy)
715 BONITA DR
MERIDIAN, MS 39301
Pharmacist
715 BONITA DR
MERIDIAN, MS 39301
Pharmacist
715 BONITA DR
MERIDIAN, MS 39301

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 Michelle Mattingly's NPI number?

The NPI number for Michelle Mattingly is 1801548755. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is Michelle Mattingly located?

Michelle Mattingly practices at 715 Bonita Dr, Meridian, MS 39301. The listed phone number is (601) 286-6035.

What is Michelle Mattingly'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 Michelle Mattingly was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.