Matrix Pharmacy Lathrup Village

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MATRIX PHARMACY LATHRUP VILLAGE

Practice address

26237 Southfield Rd Ste B
Lathrup Village, MI 48076-4546

Phone

(734) 945-7506

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Mohamad Elhajidiab

Title

Pharmacist in Charge

Phone

(248) 234-5008

Specialties & licenses 1

Addresses

Other names 1

• Matrix Pharmacy Lathrup Village Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thao-Anh Nguyen, PHARMD

  • Ambulatory Care Pharmacist
  • Ypsilanti, MI
  • NPI 1063394047
  NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1942022447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26237 SOUTHFIELD RD STE B",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764546",
            "telephone_number": "734-945-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26237 SOUTHFIELD RD STE B",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480764546",
            "telephone_number": "734-945-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX PHARMACY LATHRUP VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "ELHAJIDIAB",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "248-234-5008"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Pharmacy Lathrup Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Yolanda McGuffie, YOGA THERAPIST CIAYT
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• Community/Retail Pharmacy in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.