Provider Demographics
NPI:1801214192
Name:MATRIX CORP
Entity Type:Organization
Organization Name:MATRIX CORP
Other - Org Name:APEX CARE SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TITILAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINYOYENU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-265-2200
Mailing Address - Street 1:210 MICHIGAN AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-1005
Mailing Address - Country:US
Mailing Address - Phone:202-265-2200
Mailing Address - Fax:202-265-2205
Practice Address - Street 1:210 MICHIGAN AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-1005
Practice Address - Country:US
Practice Address - Phone:202-265-2200
Practice Address - Fax:202-265-2205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X
DCRX00000593336C0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2145065OtherPK