MATRIX PHARMACY,LLC (NPI# 1821573130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821573130 |
| Entity Type | Organization |
| Organization Name | MATRIX PHARMACY,LLC |
| Other Organization Name | MATRIX PHARMACY |
| Practice Address |
5827 E 13 Mile Rd Warren MI 48092-1512 |
| Practice Telephone | 5868836047 |
| Practice Fax Number | 5868836159 |
| Mailing Telephone | 5868836047 |
| Mailing Fax Number | 5868836159 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | JAMEELA HEPBURN (OWNER) |
| Authorized Official Telephone | 3132316627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1396204129 | 05 | |
| MI | 1821573130 | 05 |
| Other Name | Type Code |
|---|---|
| Matrix Pharmacy | Doing Business As Name - Organization |
| Street Address |
5827 E 13 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1891337804 | Warren Family Pharmacy LLC | Pharmacy | 29156 Hoover Rd, Warren, MI 48093-3476 | 2019-10-10 |
| 1629532593 | Prestige Specialty Pharmacy 3 | Pharmacy | 31700 Van Dyke Ave Ste C, Warren, MI 48093-7949 | 2019-01-24 |
| 1871019422 | Highland Rx | Pharmacy | 26000 Hoover Rd Ste 107, Warren, MI 48089-1167 | 2017-08-16 |
| 1417472697 | Jp Pharmacy Inc. | Pharmacy | 27301 Schoenherr Rd Ste 106, Warren, MI 48088-6649 | 2017-08-08 |
| 1013431014 | Shah Alam Bhuiyan | Pharmacy | 24831 Ryan Rd, Warren, MI 48091-3390 | 2017-08-01 |
| 1427578483 | Elwaseem & Associates LLC | Pharmacy | 4208 E 9 Mile Rd, Warren, MI 48091-2578 | 2017-06-21 |
| 1952832990 | Genoa Healthcare, LLC | Pharmacy | 103 W Market St Ste P, Warren, OH 44481-1017 | 2017-03-22 |
| 1033667472 | Greater Care Pharmacy LLC | Pharmacy | 24800 Hoover Rd Ste B, Warren, MI 48089-1965 | 2016-09-14 |
| 1871913640 | Hoover Drugs LLC | Pharmacy | 28675 Hoover Rd, Warren, MI 48093-4152 | 2014-04-21 |
| Find all providers in WARREN | ||||
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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.