David Allen Mattingly , R PH
Pharmacist • Herrin, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Mattingly has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
David Mattingly, R PH was a registered Pharmacist practicing in Herrin, IL. Throughout an active medical career spanning 4 years, David Mattingly provided care at the practice location at 116 N PARK AVE until profile deactivation on 2025-11-27.
Practice Location & Contact Primary Location
116 N Park Ave
Herrin, IL 62948
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Herrin, IL
Practicing in Herrin, IL (9983 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Doctor of Pharmacy (Pharm.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 27, 2025
NPI status registered as active in NPPES database
Registered at 116 N PARK AVE, HERRIN, IL 62948 (Tel: 6189425315)
Registered at 116 N PARK AVE, HERRIN, IL 62948 (Tel: 6189425315)
Recorded as DAVID MATTINGLY, R. PH.
Pharmacist (License #051033298 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
116 N Park Ave
Herrin, IL 62948
Phone: 6189425315
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