Active NPI
Rebecca Lynn Mattson, RPH, PHARMD
- Pharmacist
- Whittier, NC
National Provider Identifier
1902064355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1688
- Practice address
- 664 Cherokee Crossing
Whittier, NC 28789 - Phone
- (828) 497-2273
- Fax
- (828) 497-2873
- NPI assigned
- May 31, 2008
- Last updated
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1688 | AK | Primary |
Addresses
Primary practice location
664 Cherokee Crossing
Whittier, NC 28789
Mailing address
213 Mosa Dr
Waynesville, NC 28786-6834
Phone (907) 687-0271
Other practice location 1
7 Pisgah Hwy Ste 100
Candler, NC 28715-8991
Phone (828) 633-6700
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1688 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Mountain Pharmacy Inc | Past | Accepting new patients | |
| Cherokee Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Carolina Mountain Pharmacy
- Community/Retail Pharmacy
- Candler, NC
- NPI 1215318209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1902064355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 MOSA DR",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287866834",
"telephone_number": "907-687-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 CHEROKEE CROSSING",
"city": "WHITTIER",
"state": "NC",
"postal_code": "28789",
"telephone_number": "828-497-2273",
"fax_number": "828-497-2873"
}
],
"practiceLocations": [
{
"address_1": "7 Pisgah Hwy Ste 100",
"address_purpose": "LOCATION",
"city": "Candler",
"state": "NC",
"postal_code": "287158991",
"country_code": "US",
"telephone_number": "828-633-6700",
"fax_number": "828-633-6701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTSON",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "RPH, PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-31",
"last_updated": "2020-11-17",
"certification_date": "2020-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whittier, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.