Marvin Baltimore Jr., PHARMD

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

2817 Southmore Blvd
Houston, TX 77004-7707

Phone

(832) 850-3254

NPI assigned

Jul 16, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1144068024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 HUBBLE DR",
            "city": "IOWA COLONY",
            "state": "TX",
            "postal_code": "775833372",
            "telephone_number": "832-850-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 SOUTHMORE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047707",
            "telephone_number": "832-850-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTIMORE",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perla Yvette Baltazar, CRNA
• Seaera Baltazar
• William Cenon Baltazar Jr.
• Elizabeth Baltierrez
• Vanessa Tabetha Baltierrez
• David Baltrusaitis, MD
• Aiste Baltuonyte, MD
• Brennan Patrick Baltusnik
• Richard Patrick Baltz, MD
• Anthony R Balzer, MD

• Adult Care Home Facility in Houston, TX
• Providers in Houston, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.