IndividualActive
Jack Mattson, RPH
NPI 1063820405 · Pharmacist · Wichita, KS
Jack Mattson, RPH is a Pharmacist provider in Wichita, KS (NPI 1063820405).
Provider details
- NPI number
- 1063820405
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 11225 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3707 N Woodlawn Blvd
Wichita, KS 67220-2222
Phone: (316) 691-9134
Fax: (316) 691-9138
Street-level locationGet directions
Mailing address
3707 N Woodlawn Blvd
Wichita, KS 67220-2222
Registry dates
- Enumerated
- 2014-07-29
- Last updated
- 2014-07-29
Frequently asked questions
- What is Jack Mattson's NPI number?
- Jack Mattson's National Provider Identifier (NPI) is 1063820405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Mattson's specialty?
- Jack Mattson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jack Mattson located?
- Jack Mattson's practice location on file with NPPES is 3707 N Woodlawn Blvd, Wichita, KS 67220-2222.
- What is Jack Mattson's phone number?
- The practice phone number listed in the NPPES registry for Jack Mattson is (316) 691-9134.
- Is Jack Mattson's NPI active?
- Yes — Jack Mattson's NPI (1063820405) is active in the NPPES registry as of the last update on 2014-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.