Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mattawan Pharmacy

Community/Retail Pharmacy in Mattawan, MI · enumerated 2006 · authorized official Edward Nantais, Owner Phcst.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376655365

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Registry record

Entity type Organization (Type 2)

Legal business name Mattawan Pharmacy

Practice address 52366 N Main St, Mattawan, MI, 49071

Phone (269) 668-4571

Fax (269) 668-3439

Enumeration date Aug 31, 2006

Last updated in NPPES Jul 24, 2008

Taxonomy & classification

333600000X Pharmacy Suppliers · License 5301005559 (MI) Secondary

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Edward Nantais

Title Owner Phcst

Phone (269) 668-4549

Other identifiers

Identifier	Type	State	Issuer
2348565	Medicaid	MI	-
2348565	Other	-	OTHER ID NUMBER-COMMERCIAL NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-24. Verify at npiregistry.cms.hhs.gov.

Where is Mattawan Pharmacy located?

The practice location on file with NPPES is in Mattawan, MI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-24.