Active NPI
Patsy Joanne Nemetz, PHARM. D.
- Ambulatory Care Pharmacist
- Davis, CA
National Provider Identifier
1740870419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- RPH46826
- Practice address
- 1 Shields Ave
Davis, CA 95616-5200 - Phone
- (530) 752-2338
- Fax
- (530) 754-5842
- NPI assigned
- Jan 26, 2021
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | RPH46826 | CA | Primary |
Addresses
Primary practice location
1 Shields Ave
Davis, CA 95616-5200
Mailing address
11365 Haggie Rd
Wilton, CA 95693-9754
Phone (209) 648-5030
Other names 1
- Dr. Patsy Joanne Mattly
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH46826 | CA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1740870419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11365 HAGGIE RD",
"city": "WILTON",
"state": "CA",
"postal_code": "956939754",
"telephone_number": "209-648-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIELDS AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165200",
"telephone_number": "530-752-2338",
"fax_number": "530-754-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMETZ",
"first_name": "PATSY",
"middle_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "RPH46826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATSY",
"last_name": "MATTLY",
"middle_name": "JOANNE",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.