Jonathan Mata, PHARMD is a
Pharmacist based in Mendota, Illinois. Jonathan Mata is licensed to practice in Illinois (license number 051291928) and his current practice location is
1212 13th Ave, Mendota, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 538-2095.
NPI number for Jonathan Mata is 1184229098 and his current mailing address is 1212 13th Ave, Mendota, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184229098.
Healthcare Provider's Profile
Full Name | Jonathan Mata |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 1212 13th Ave, Mendota, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184229098
- Provider Enumeration Date: 12/01/2020
- Last Update Date: 12/01/2020
Medical Identifiers
Medical identifiers for Jonathan Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184229098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 051291928 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Mata is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jonathan Mata, PHARMD 1212 13th Ave, Mendota, IL 61342-1411 Ph: () - | Jonathan Mata, PHARMD 1212 13th Ave, Mendota, IL 61342-1411 Ph: (815) 538-2095 |
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