OrganizationActive
Mattawan Pharmacy
NPI 1376655365 · Community/Retail Pharmacy · Mattawan, MI
Mattawan Pharmacy is a Community/Retail Pharmacy organization in Mattawan, MI (NPI 1376655365).
Provider details
- NPI number
- 1376655365
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Edward Nantais, Owner Phcst(269) 668-4549
- License
- 5301005559 (MI)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
52366 N Main St
Mattawan, MI 49071-0069
Phone: (269) 668-4571
Fax: (269) 668-3439
Street-level locationGet directions
Mailing address
Po Box 69
Mattawan, MI 49071-0069
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2008-07-24
Frequently asked questions
- What is Mattawan Pharmacy's NPI number?
- Mattawan Pharmacy's National Provider Identifier (NPI) is 1376655365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mattawan Pharmacy?
- Mattawan Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mattawan Pharmacy located?
- Mattawan Pharmacy's practice location on file with NPPES is 52366 N Main St, Mattawan, MI 49071-0069.
- What is Mattawan Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Mattawan Pharmacy is (269) 668-4571.
- Who is the authorized official for Mattawan Pharmacy?
- The authorized official listed on Mattawan Pharmacy's NPPES record is Edward Nantais, Owner Phcst. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mattawan Pharmacy's NPI active?
- Yes — Mattawan Pharmacy's NPI (1376655365) is active in the NPPES registry as of the last update on 2008-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.