Daniel J Mattinen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

125837 Issued in MN

Practice address

5033 Vernon Ave S
Edina, MN 55436-2102

Phone

(952) 929-0034

NPI assigned

Nov 4, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Edina, MN
  • NPI 1760774384
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1538876834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 VERNON AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362102",
            "telephone_number": "952-929-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5033 VERNON AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362102",
            "telephone_number": "952-929-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINEN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "125837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joel Mastous, PA-C
• Brayden M Mateuszczyk, PT, DPT
• Curtis Elmer Mathsen, CRNA
• Matrix Advocare Network, Inc.
• Mark Matthew Matsumoto, D.D.S.
• Rebecca Suzanne Mattison, MD
• Laura Mattson, PA-C
• Marcia Mattson, PT
• Peggy Marie Maude-Griffin, PH.D., LP
• David J. Maurer, M.D.

• Pharmacist in Edina, MN
• Providers in Edina, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.