Martnicks Pharmacy & Medical Supply Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

25452 Issued in FL

Legal business name

MARTNICKS PHARMACY & MEDICAL SUPPLY INC

Practice address

1107 E Hallandale Beach Blvd Ste B
Hallandale Beach, FL 33009-4431

Phone

(954) 530-3024

Fax

(954) 530-4285

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Robert N Onyenwe, RPHD

Title

Ceo/President

Phone

(954) 530-4698

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• HealthSun Health Plans Network
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1306356092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E HALLANDALE BEACH BLVD STE B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094431",
            "telephone_number": "954-530-3024",
            "fax_number": "954-530-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E HALLANDALE BEACH BLVD STE B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094431",
            "telephone_number": "954-530-3024",
            "fax_number": "954-530-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTNICKS PHARMACY & MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "ONYENWE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "954-530-4698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPHD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "25452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004851500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisney Martinez Garcia
• Yenixis Martinez-Castillo, APRN
• Kenny Vanessa Martinez
• Noslen Martinez
• Martnicks Pharmacy & Discount Services Inc. (Martnicks Pharmacy & Discount SCVS, Inc)
• Jeanette Maseda-Lopez, PHYSICAL THERAPIST
• Lauren Ashley Maselli, D.O.
• Marly Maxime, NP
• Maximo R Monterrey, MD
• Maya Bat-Ami PSYD PA

• Long Term Care Pharmacy in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.