Matrix Pharmacy, LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

PS20125 Issued in FL

Legal business name

MATRIX PHARMACY, LLC

Doing business as

myMatrixx

Practice address

5706 Benjamin Center Dr
Suite 103
Tampa, FL 33634-5262

Phone

(800) 784-0882

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Allen P (Phil) Walls, R.PH.

Title

Sr. Vice President

Phone

(813) 514-0494

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• myMatrixx Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1447302963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274070",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336884070",
            "telephone_number": "800-784-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 BENJAMIN CENTER DR",
            "address_2": "SUITE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345262",
            "telephone_number": "800-784-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "P (PHIL)",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "813-514-0494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "FL",
            "license": "PS20125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP-NABP",
            "identifier": "1014531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "myMatrixx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Matos, CRNA
• Lauren Matos, LMHC
• Mary Ann Franjul Matos, APRN CNM
• Mayelin Matos, ARPN
• Rafael Matos, APRN
• Maura Matsen
• Iris Matsukado, O.D.
• Stephanie Stephen Mattathil, M.D
• Kristy H Matte, PA-C
• Mandy Matteis, MPT

• Mail Order Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Mail Order Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.