Organization Active NPI

Matrix RX

  • Health Service Clinic/Center
  • Baltimore, MD
National Provider Identifier
1295920403
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
M03406 Issued in MD
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

Updated by the provider on Sep 11, 2007

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.