Matrix Vip LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MATRIX VIP LLC

Practice address

285 E Waterfront Dr Ste 130
Homestead, PA 15120-5017

Phone

(412) 586-4545

Fax

(866) 410-3304

NPI assigned

Sep 17, 2021

Organization subpart

No

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

Authorized official

Name

Jamin Gross, PHARMDNPI 1356650394

Title

Pharmacist

Phone

(412) 608-0515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Stamford, CT
  • NPI 1831854173

  Member Of

  NPD member

Locations

Practitioners 1

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

• Jamin John Gross, PHARMD.

  • Pharmacist
  • Pittsburgh, PA
  • NPI 1356650394
  NPD Authorized official

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1952071243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E WATERFRONT DR STE 130",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151205017",
            "telephone_number": "412-586-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E WATERFRONT DR STE 130",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151205017",
            "telephone_number": "412-586-4545",
            "fax_number": "866-410-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX VIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "JAMIN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "412-608-0515",
        "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": []
}

• Luxottica of America Inc. (Target Optical #4055)
• Rosemary C Lyon, CRNA
• Shelby Mandia, LPC
• Elizabeth Mary Marchese, PT, DPT
• Debra Marks
• Megan Elizabeth McGrail
• Megan McGraw, M.S.W.
• Medical Staffing Network, Inc. (Nurses Plus)
• Brian Melnick, MD
• Christopher Miller, R.PH

• Long Term Care Pharmacy in Homestead, PA
• Providers in Homestead, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.