Active NPI
Alan Martinez, PHARMD.
- Pharmacy
- Bloomingdale, IL
National Provider Identifier
1144821109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 051297935
- Practice address
- 314 W Army Trail Rd
Bloomingdale, IL 60108-2300 - Phone
- (224) 659-4209
- NPI assigned
- Nov 5, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | 051297935 | IL | Primary |
Addresses
Primary practice location
314 W Army Trail Rd
Bloomingdale, IL 60108-2300
Mailing address
314 W Army Trail Rd
Bloomingdale, IL 60108-2300
Phone (224) 659-4209
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 |
|---|---|---|---|
| 051297935 | IL | MD | Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604707200000",
"number": "1144821109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 W ARMY TRAIL RD",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082300",
"telephone_number": "224-659-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 W ARMY TRAIL RD",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082300",
"telephone_number": "224-659-4209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ALAN",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-07",
"certification_date": "2020-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": "051297935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.