IndividualActive
Randolph Mattila
NPI 1740680099 · Pharmacist · Grants, NM
Randolph Mattila is a Pharmacist provider in Grants, NM (NPI 1740680099).
Provider details
- NPI number
- 1740680099
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RP00004614 (NM)
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
1208 Bonita St
Grants, NM 87020-2234
Phone: (505) 287-2600
Street-level locationGet directions
Mailing address
36 Hamilton Rd
Grants, NM 87020-3766
Registry dates
- Enumerated
- 2014-08-23
- Last updated
- 2014-08-23
Frequently asked questions
- What is Randolph Mattila's NPI number?
- Randolph Mattila's National Provider Identifier (NPI) is 1740680099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randolph Mattila's specialty?
- Randolph Mattila is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Randolph Mattila located?
- Randolph Mattila's practice location on file with NPPES is 1208 Bonita St, Grants, NM 87020-2234.
- What is Randolph Mattila's phone number?
- The practice phone number listed in the NPPES registry for Randolph Mattila is (505) 287-2600.
- Is Randolph Mattila's NPI active?
- Yes — Randolph Mattila's NPI (1740680099) is active in the NPPES registry as of the last update on 2014-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.