Active NPI
Ialet Martani, PHARM D
- Pharmacist
- El Cajon, CA
National Provider Identifier
1063051548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80309
- Practice address
- 792 Avocado Ave Unit 74
El Cajon, CA 92020-6462 - Phone
- (619) 457-8383
- NPI assigned
- Dec 31, 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 | 80309 | CA | Primary |
Addresses
Primary practice location
792 Avocado Ave Unit 74
El Cajon, CA 92020-6462
Mailing address
792 Avocado Ave
El Cajon, CA 92020-6400
Phone (619) 457-8383
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cvs | Direct |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80309 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1063051548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 AVOCADO AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920206400",
"telephone_number": "619-457-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "792 AVOCADO AVE UNIT 74",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920206462",
"telephone_number": "619-457-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTANI",
"first_name": "IALET",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-31",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80309",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "cvs",
"affiliation": "N",
"endpointDescription": "workplace",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3749 Avocado Blvd",
"city": "LA Mesa",
"state": "CA",
"country_code": "US",
"postal_code": "919417301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.