Active NPI
Patricia Petroslava Martinovich, RPH
- Pharmacist
- North Port, FL
National Provider Identifier
1023657962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS46911
- Practice address
- 17000 Tamiami TRL
North Port, FL 34287-7281 - Phone
- (941) 423-8336
- NPI assigned
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS46911 | FL | Primary |
Addresses
Primary practice location
17000 Tamiami TRL
North Port, FL 34287-7281
Mailing address
600 Flamingo Dr
Venice, FL 34285-3010
Phone (941) 451-8292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS46911 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1023657962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 FLAMINGO DR",
"city": "VENICE",
"state": "FL",
"postal_code": "342853010",
"telephone_number": "941-451-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 TAMIAMI TRL",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342877281",
"telephone_number": "941-423-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINOVICH",
"first_name": "PATRICIA",
"middle_name": "PETROSLAVA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-23",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS46911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Port, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.