Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063820405 Individual Practitioner Male Practitioner

Jack Mattson , RPH

Pharmacist • Wichita, KS

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jack Mattson, RPH is a registered healthcare professional specializing in Pharmacist in Wichita, KS. Official NPI practice address is registered at 3707 N WOODLAWN BLVD.

Practice Location & Contact Primary Location

Practice Address

3707 N Woodlawn Blvd

Wichita, KS 672202222

Telephone 3166919134
Fax 3166919138
Associated Practice Facility / Clinic
🏢 Dillon Companies Llc Facility NPI 1568402352

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Wichita, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
388 Specialists

Practicing in Wichita, KS (2627 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License KS 11225

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

8 Associated Practitioners
NPI 1023426087

Doctor of Pharmacy (Pharm.D.)

NPI 1285037218
Huong Dong

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1285232934
NPI 1346749934

Doctor of Pharmacy (Pharm.D.)

Phuong - Vy Le

Pharmacist

NPI 1417452368
NPI 1710401393

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2014

Registered at 3707 N WOODLAWN BLVD, WICHITA, KS 672202222 (Tel: 3166919134)

📍
Updated Business Mailing Address July 29, 2014

Registered at 3707 N WOODLAWN BLVD, WICHITA, KS 672202222 (Tel: 3166919134)

👤
Provider Name / Credentials Updated July 29, 2014

Recorded as JACK MATTSON, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2014

Pharmacist (License #11225 in KS)

🟢
Initial NPI Registration & Enumeration July 29, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063820405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2014
Last Update: July 29, 2014
Sole Proprietor: No

Mailing Address

3707 N Woodlawn Blvd

Wichita, KS 672202222

Phone: 3166919134

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.