Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174203467 Individual Practitioner Male Practitioner

Matt Amidan

Pharmacist • Moab, UT

Professional Overview & Biography Verified Profile Summary

Matt Amidan is a registered healthcare professional specializing in Pharmacist in Moab, UT. Practice services are available at 290 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

290 S Main St

Moab, UT 845322596

Telephone 4353132012
Associated Practice Facility / Clinic
🏢 Walker Drug Company, Inc Facility NPI 1013071265

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Moab, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Moab, UT (2037 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

CMS Verified: 2023-07-20
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License UT 7550499-1701

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

1 Associated Practitioners
NPI 1639769102

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2023

Registered at 290 S MAIN ST, MOAB, UT 845322596 (Tel: 4353132012)

📍
Updated Business Mailing Address July 20, 2023

Registered at 290 S MAIN ST, MOAB, UT 845322509 (Tel: 4353132012)

👤
Provider Name / Credentials Updated July 20, 2023

Recorded as MATT AMIDAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2023

Pharmacist (License #7550499-1701 in UT)

🟢
Initial NPI Registration & Enumeration July 20, 2023

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: 1174203467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2023
Last Update: July 20, 2023
Sole Proprietor: Yes

Mailing Address

290 S Main St

Moab, UT 845322509

Phone: 4353132012

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.