Donna G Mattera, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051-037479 Issued in IL

Practice address

1053 Jason PL
Chatham, IL 62629-2018

Phone

(217) 483-7431

Fax

(217) 483-7491

NPI assigned

May 7, 2012

Last updated

May 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hac 2 Inc

  dba Health One of Central Illinois

  • Community/Retail Pharmacy
  • Chatham, IL
  • NPI 1518000926
  Authorized official Same address or phone
• Hac 2, Inc

  dba Uvanta Pharmacy of Central Illinois

  • Long Term Care Pharmacy
  • Chatham, IL
  • NPI 1003868928
  Authorized official Same address or phone

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1760741003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7513 SOUTHPORT LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116771",
            "telephone_number": "217-622-3674",
            "fax_number": "217-483-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 JASON PL",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626292018",
            "telephone_number": "217-483-7431",
            "fax_number": "217-483-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERA",
        "first_name": "DONNA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-037479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Lenee Lucas, MS, CCC-SLP
• Lusk Services PC (Chit Chat Therapy)
• Marissa Paige Mahan, DNP, FNP-BC
• Rachael Marie Manning, MS, CCC-SLP
• Kiley Nicole Marsaglia, PA-C
• Joanne Mayberry
• Jennifer Lynn McCabe, RD, LD, CLC, CD
• Angela Faith McCormick, NP
• Wendie Medina, APN
• Ma Lizza Martinez Mendiola, RPT

• Pharmacist in Chatham, IL
• Providers in Chatham, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.