Active NPI
Med Matrix Pharmacy, Inc
- Long Term Care Pharmacy
- Vista, CA
National Provider Identifier
1700716149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MED MATRIX PHARMACY, INC
- Practice address
- 161 Thunder Dr Ste 100
Vista, CA 92083-6051 - Phone
- (760) 758-7650
- NPI assigned
- May 19, 2026
- 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
- Connie K Dao, PHARMD
- Title
- Owner
- Phone
- (760) 758-7650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
161 Thunder Dr Ste 100
Vista, CA 92083-6051
Mailing address
161 Thunder Dr Ste 100
Vista, CA 92083-6051
Phone (760) 758-7650
National Provider Directory
National Provider Directory- Tax ID family
- Med Matrix Pharmacy Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Vista, CA
- NPI 1093795577
-
- Pharmacy
- Vista, CA
- NPI 1538805056
-
- Pharmacist
- Vista, CA
- NPI 1902593585
Locations
161 Thunder Dr
Ste 100
Vista, CA 92083
Phone (760) 758-7650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1700716149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 THUNDER DR STE 100",
"city": "VISTA",
"state": "CA",
"postal_code": "920836051",
"telephone_number": "760-758-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 THUNDER DR STE 100",
"city": "VISTA",
"state": "CA",
"postal_code": "920836051",
"telephone_number": "760-758-7650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED MATRIX PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "DAO",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-758-7650",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.