Active NPI
Denise Alice Martinez, PHARM TECH
- Pharmacy Technician
- Laguna Woods, CA
National Provider Identifier
1255915013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 118099
- Practice address
- 24330 El Toro Rd
Laguna Woods, CA 92637-2775 - Phone
- (949) 830-0391
- NPI assigned
- May 7, 2021
- Last updated
- May 7, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 118099 | CA | Primary |
Addresses
Primary practice location
24330 El Toro Rd
Laguna Woods, CA 92637-2775
Mailing address
911 Santorini
Irvine, CA 92606-0843
Phone (949) 630-6118
Other practice location 1
18112 Culver Dr
Irvine, CA 92612-2730
Phone (949) 786-0151 ext. 3
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 |
|---|---|---|---|
| 118099 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 05736
- Community/Retail Pharmacy
- Laguna Hills, CA
- NPI 1104848928
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1255915013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 SANTORINI",
"city": "IRVINE",
"state": "CA",
"postal_code": "926060843",
"telephone_number": "949-630-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24330 EL TORO RD",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926372775",
"telephone_number": "949-830-0391"
}
],
"practiceLocations": [
{
"address_1": "18112 Culver Dr",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926122730",
"country_code": "US",
"telephone_number": "949-786-0151 x3",
"fax_number": "949-786-8262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DENISE",
"middle_name": "ALICE",
"credential": "PHARM TECH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "118099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Woods, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.