Mariana Mojoko Endeley-Matute, RPH

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PD10030 Issued in AR

Practice address

2500 McCain Blvd
North Little Rock, AR 72116-7609

Phone

(501) 812-6228

Fax

(501) 812-5739

NPI assigned

Sep 30, 2011

Sex

Female

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

Registered Pharmacist

State licenses

Practice roles

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
  • North Little Rock, AR
  • NPI 1922178771
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1588948293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NEMOURS CT",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136751",
            "telephone_number": "501-626-3483",
            "fax_number": "501-812-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167609",
            "telephone_number": "501-812-6228",
            "fax_number": "501-812-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDELEY-MATUTE",
        "first_name": "MARIANA",
        "middle_name": "MOJOKO",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "AR",
            "license": "PD10030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Aeryn Ember
• Embrace Your Journey Counseling
• Yolanda M Emery
• Empowering Counsel
• Encore Health, P.a.
• Peggy Sue Engelhoven, D.C.
• Christopher Brian Engelkes, AU.D., CCC-A
• Madeline England
• Rosalyn Keani Enos, M.D.
• Epoch Health- North Little Rock, PLLC

• Pharmacotherapy Pharmacist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Pharmacotherapy Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.