Amanda Sue Mattuchio, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PH24043 Issued in MA

Practice address

480 Maple St
Danvers, MA 01923-4065

Phone

(978) 304-8458

Fax

(978) 304-8447

NPI assigned

Mar 6, 2024

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

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1639936511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MERRIMACK MEADOWS LN",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761086",
            "telephone_number": "617-605-2087",
            "fax_number": "978-304-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-304-8458",
            "fax_number": "978-304-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTUCHIO",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MA",
            "license": "PH24043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen M Mathews, M.D.
• Pauline R Mathewson, PA-C
• Sakura Matsuno, LCSW
• Marnie Matthews, MSW
• Alexandra Mattuchio, M.S., BCBA, LABA
• Angelina Mauro-Conrad, LICSW
• Emily Jade Mawson, ACNPC-AG
• Margaret Maxson, CRNA
• Margaret Mbuthia
• Stephanie McAvoy

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Danvers, MA
• Providers in Danvers, MA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.