Heather Christine Mawn, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP044107L Issued in PA

Practice address

20 Industrial Dr
Du Bois, PA 15801-3842

Phone

(814) 375-5005

Fax

(814) 375-5007

NPI assigned

Jan 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1891325460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 HICKORY RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573024",
            "telephone_number": "814-591-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 INDUSTRIAL DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013842",
            "telephone_number": "814-375-5005",
            "fax_number": "814-375-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWN",
        "first_name": "HEATHER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP414698L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP044107L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "RP044107L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISENCE",
            "identifier": "RP044107L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Matonak, DMD
• Donald Matson, PHARMD
• Lisa Marie Matson, PHARMD
• Cassidy Mauk, FNP-C
• Tonya Lynn Mauk, B. A.
• Jennifer Lynn Maxim, CRNP
• Lindsay Erin Mays, CRNP
• Joseph E. McAndrew, M.D.
• Brittany McBride, CRNA
• Spring Marie McCann, M.D.

• Pharmacist in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.