Active NPI
Matrix RX
- Health Service Clinic/Center
- Baltimore, MD
National Provider Identifier
1295920403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- M03406
- Legal business name
- MATRIX RX
- Practice address
- 1124 Mace Ave
Baltimore, MD 21221-3315 - Phone
- (443) 600-7466
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sherri Fuget, C.M.T.
- Title
- Office Manager
- Phone
- (443) 600-7466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | M03406 | MD | Primary |
Addresses
Primary practice location
1124 Mace Ave
Baltimore, MD 21221-3315
Mailing address
1025 Foxridge LN
Baltimore, MD 21221-5914
Phone (443) 600-7466
Other names 1
- Matrix Rx Health Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189468800000",
"number": "1295920403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 FOXRIDGE LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212215914",
"telephone_number": "443-600-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 MACE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212213315",
"telephone_number": "443-600-7466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRIX RX",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A",
"authorized_official_last_name": "FUGET",
"authorized_official_first_name": "SHERRI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "443-600-7466",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "C.M.T."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "MD",
"license": "M03406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Matrix Rx Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.