Active NPI
Matrx Pharmacy, LLC
Doing business as Matrx LTC Pharmacy at Community House
- Long Term Care Pharmacy
- Seattle, WA
National Provider Identifier
1578284691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MATRX PHARMACY, LLC
- Doing business as
- Matrx LTC Pharmacy at Community House
- Practice address
- 2212 S Jackson St
Ste 221
Seattle, WA 98144-2339 - Phone
- (206) 788-8088
- Fax
- (206) 777-0966
- NPI assigned
- Sep 7, 2022
- Organization subpart
- Yes
- Parent organization
- MATRX PHARMACY, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Daniel Hunter, CPHT
- Title
- President
- Phone
- (360) 863-3009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
2212 S Jackson St
Ste 221
Seattle, WA 98144-2339
Mailing address
2212 S Jackson St
Ste 221
Seattle, WA 98144-2339
Phone (206) 788-8088
Other names 1
- Matrx LTC Pharmacy at Community House
National Provider Directory
National Provider Directory- Tax ID family
- Matrx Pharmacy LLC
- Part of
- Matrx Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1578284691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 S JACKSON ST",
"address_2": "STE 221",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442339",
"telephone_number": "206-788-8088",
"fax_number": "206-777-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 S JACKSON ST",
"address_2": "STE 221",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442339",
"telephone_number": "206-788-8088",
"fax_number": "206-777-0966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRX PHARMACY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MATRX PHARMACY, LLC",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-863-3009",
"authorized_official_credential": "CPHT"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Matrx LTC Pharmacy at Community House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.