MATRIX PHARMACY, LLC (NPI# 1447302963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447302963 |
| Entity Type | Organization |
| Organization Name | MATRIX PHARMACY, LLC |
| Other Organization Name | MYMATRIXX |
| Practice Address |
5706 Benjamin Center Dr Suite 103 Tampa FL 33634-5262 |
| Mailing Address |
Po Box 274070 Tampa FL 33688-4070 |
| Practice Telephone | 8007840882 |
| Mailing Telephone | 8007840882 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ALLEN P (PHIL) WALLS (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 8135140494 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
PS20125 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BM9458250 | 01 | |
| NCPDP-NABP | 1014531 | 01 |
| Other Name | Type Code |
|---|---|
| myMatrixx | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | MATRIX PHARMACY, LLC | 5706 Benjamin Center Dr, #103, Tampa, FL 33634 |
| Street Address |
5706 BENJAMIN CENTER DR SUITE 103 |
| City | TAMPA |
| State | FL |
| Zip Code | 33634-5262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114217023 | Robert Ayan | Pharmacist | 5706 Benjamin Center Dr, #103, Tampa, FL 33634-5262 | 2011-04-12 |
| 1649586322 | Michael Hai Nguyen | Pharmacist | 5706 Benjamin Center Dr, #103, Tampa, FL 33634-5262 | 2010-08-19 |
| 1265584791 | Allen P (phil) Walls | Pharmacist | 5706 Benjamin Center Dr, Suite 103, Tampa, FL 33634-5262 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285927178 | Priority Care Solutions | Pharmacy | 3802 Corporex Park Dr Ste 100, Tampa, FL 33619-1128 | 2011-05-25 |
| 1609821644 | Vin Kash Inc | Pharmacy | 5474 Williams Rd, Ste 16 and 19, Tampa, FL 33610-9345 | 2006-05-24 |
| 1912436775 | Tampa Specialty Pharmacy LLC | Pharmacy | 5908 Breckenridge Pkwy, Tampa, FL 33610-4233 | 2017-06-06 |
| 1548357742 | Express Scripts Pharmacy Inc | Pharmacy | 8800 Hidden River Pkwy, Tampa, FL 33637-1028 | 2006-10-07 |
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|---|---|---|---|---|
| 1245875616 | Zeta Meds | Pharmacy | 3850 Se 58th Ave, Ocala, FL 34480-7467 | 2019-11-08 |
| 1063976777 | Hiya Rx, LLC | Pharmacy | 1140 E Van Fleet Dr, Bartow, FL 33830-7626 | 2019-01-27 |
| 1316483258 | Mailmyprescriptions Com Pharmacy Corporation | Pharmacy | 622 Banyan Trl Ste 614, Boca Raton, FL 33431-5614 | 2017-01-17 |
| 1114477122 | Benecord Central Fill of Fl LLC | Pharmacy | 28000 Spanish Wells Blvd, Bonita Springs, FL 34135-2850 | 2016-10-13 |
| 1699195164 | Librty for All Pharmacy | Pharmacy | 3034 S Jog Road, Lake Woth, FL 33467-0000 | 2014-04-23 |
| 1053737015 | A&r Pharmacy | Pharmacy | 1201 Us Highway 1 Ste 248, North Palm Beach, FL 33408-8506 | 2014-03-13 |
| 1093143570 | Ergogenic Labs LLC | Pharmacy | 11496 Pierson Rd Ste C6, Wellington, FL 33414-8708 | 2013-10-21 |
| 1699113902 | Med Care Choice Pharmacy, Inc. | Pharmacy | 3570 Consumer St, 8, Riviera Beach, FL 33404-1740 | 2013-06-08 |
| 1386998623 | Lbg Holdings LLC | Pharmacy | 2864 W Main St, Leesburg, FL 34748-4631 | 2012-11-08 |
| 1144576463 | Aventura Rx Pharmacy Inc | Pharmacy | 18749 W Dixie Hwy, Miami, FL 33180-2617 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.