Organization
MATT'S RX,LLC
Active
Other names
Matt's Medicine Store
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MATTHEW MALLINSON (MEMBER)
(816) 833-3636
Entity
Organization
Contact information
Practice address
11200 1-2 E US HIGHWAY 24, INDEPENDENCE, MO 64054-1514
(816) 833-3636
(816) 833-1071
Mailing address
11200 1-2 E US HIGHWAY 24, INDEPENDENCE, MO 64054-1514
(816) 833-3636
(816) 833-1071
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
004747
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602442402
—
MO
05
—
622442408
—
MO
Enumeration date
06/04/2006
Last updated
12/08/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up