Active NPI
Rachel Mattsson
- Pharmacist
- Orlando, FL
National Provider Identifier
1447597588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43756
- Practice address
- 12231 E Colonial Dr
Orlando, FL 32826-4759 - Phone
- (407) 380-3148
- NPI assigned
- Jan 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS43756 | FL | Primary |
Addresses
Primary practice location
12231 E Colonial Dr
Orlando, FL 32826-4759
Mailing address
12231 E Colonial Dr
Orlando, FL 32826-4759
Phone (407) 380-3148
Other practice location 1
2600 Maguire Rd
Ocoee, FL 34761-4752
Phone (407) 656-8537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS43756 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1649211145 | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1447597588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12231 E COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264759",
"telephone_number": "407-380-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12231 E COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264759",
"telephone_number": "407-380-3148"
}
],
"practiceLocations": [
{
"address_1": "2600 Maguire Rd",
"address_purpose": "LOCATION",
"city": "Ocoee",
"state": "FL",
"postal_code": "347614752",
"country_code": "US",
"telephone_number": "407-656-8537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTSSON",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.