OrganizationActiveAccepts Medicare
Matrix Pharmacy Lathrup Village
NPI 1942022447 · Community/Retail Pharmacy · Lathrup Village, MI
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1942022447
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mohamad Elhajidiab, Pharmacist in Charge(248) 234-5008
Specialties & taxonomies
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
26237 Southfield Rd Ste B
Lathrup Village, MI 48076-4546
Phone: (734) 945-7506
Street-level locationGet directions
Mailing address
26237 Southfield Rd Ste B
Lathrup Village, MI 48076-4546
Other names (DBA / former)
- Doing business as
- Matrix Pharmacy Lathrup Village
Registry dates
- Enumerated
- 2024-10-28
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.