NPIMap

Organization Active NPI

Med Matrix Pharmacy, Inc

  • Pharmacist
  • Vista, CA
National Provider Identifier
1902593585
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
MED MATRIX PHARMACY, INC
Practice address
1929 W Vista Way Ste G
Vista, CA 92083-6003
Phone
(760) 536-3323
Fax
(760) 536-3513
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Connie Dao, PHARMD
Title
Cep
Phone
(760) 536-3323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

1929 W Vista Way Ste G
Vista, CA 92083-6003

Mailing address

1929 W Vista Way Ste G
Vista, CA 92083-6003
Phone (760) 536-3323

National Provider Directory

National Provider Directory
Tax ID family
Med Matrix Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1902593585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 W VISTA WAY STE G",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836003",
            "telephone_number": "760-536-3323",
            "fax_number": "760-536-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 W VISTA WAY STE G",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836003",
            "telephone_number": "760-536-3323",
            "fax_number": "760-536-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MATRIX PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEP",
        "authorized_official_telephone_number": "760-536-3323",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "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 Apr 24, 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.