Jonathan Mata, PHARMD
Pharmacist · Mendota, IL
Practice location
1212 13TH AveMendota, IL 61342-1411
- Phone
- (815) 538-2095
NPI record
- NPI
- 1184229098
- Entity type
- Individual (Type 1)
- Enumeration date
- December 1, 2020
- Last updated
- December 1, 2020
- Certified
- December 1, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
051291928 | IL |
About Dr. Mata
Jonathan Mata, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1212 13TH Ave, Mendota, IL 61342-1411. The NPI number 1184229098 was assigned on December 1, 2020 and the record was last updated on December 1, 2020.
Dr. Mata lists a license in the registry: #051291928 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jonathan Mata, PHARMD?
The NPI number is 1184229098.
What is the phone number of Dr. Mata?
The phone number listed for the practice location is (815) 538-2095.
Where is Dr. Mata located?
1212 13TH Ave, Mendota, IL 61342-1411.
What is the taxonomy code for Dr. Mata?
The primary taxonomy code is 183500000X – Pharmacist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pharmacist providers in Mendota
- Abdul Moyeed Atif, PHARMD1212 13TH Ave