Healthcare Provider Details

I. General information

NPI: 1750427233
Provider Name (Legal Business Name): MATRIX CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 01/26/2021
Certification Date: 01/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3839 MINNESOTA AVE NE
WASHINGTON DC
20019-2660
US

IV. Provider business mailing address

3839 MINNESOTA AVE NE
WASHINGTON DC
20019-2660
US

V. Phone/Fax

Practice location:
  • Phone: 202-388-1900
  • Fax: 202-388-8099
Mailing address:
  • Phone: 202-388-1900
  • Fax: 202-388-8099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberRX1100437
License Number StateDC

VIII. Authorized Official

Name: TOMI AKINYOYENU
Title or Position: PRESIDENT
Credential: RPH
Phone: 202-388-1900