Matrix Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MATRIX PHARMACY INC

Practice address

436B S Broadway
Yonkers, NY 10705-2339

Phone

(314) 207-8566

Fax

(914) 207-8568

NPI assigned

Apr 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Farqan Ali

Title

President

Phone

(914) 207-8566

Specialties & licenses 1

Addresses

Other names 1

• baba pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1043061435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436B S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436B S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052339",
            "telephone_number": "314-207-8566",
            "fax_number": "914-207-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "FARQAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-207-8566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "baba pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeane M Mathews, M.D.
• Tina M Mathews, MD
• Johnson Mathias, PHARMD
• Dariana Matos, MHC-LP
• Jose Matos, M.D.
• Ifeanyi Matthew, OTA
• Gloria Mattioli
• Danielle Helen Mattos, RN
• Rita M Mattos, RPH
• Maxwell Agyemang

• Community/Retail Pharmacy in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.